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ANAHEIM COMMUNITY DENTISTRY NPI 1124229182


NPI Information

NPI: 1124229182
Provider Name: ANAHEIM COMMUNITY DENTISTRY
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
435 N STATE COLLEGE BLVD
ANAHEIM, CA
ZIP 92806
Phone: (714) 635-0855
Get Directions

ANAHEIM COMMUNITY DENTISTRY is a general practice dentist in Anaheim, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. ANAHEIM COMMUNITY DENTISTRY NPI is 1124229182. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

435 N STATE COLLEGE BLVD
ANAHEIM, CA
ZIP 92806-917
Phone: (714) 635-0855
Fax: (714) 635-1814

The provider's authorized official is Vahid Einollahi .
The authorized official title is Dentist and has the following contact phone number (714) 635-0855.

The enumeration date for this NPI number is 5/29/2007 and was last updated on 6/17/2008.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1B44395-01OTHERCALIFORNIADENTICAL

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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