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K JAVID D.D.S AND M NADI D.D.S INC NPI 1144771445


NPI Information

NPI: 1144771445
Provider Name: K JAVID D.D.S AND M NADI D.D.S INC

Doing Business As: DR. SMILE SAN PEDRO

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1622 S GAFFEY ST
SUITE #102
SAN PEDRO, CA
ZIP 90731
Phone: (310) 548-8128
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K JAVID D.D.S AND M NADI D.D.S INC is an oral and maxillofacial surgery clinic center in San Pedro, CA. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. K JAVID D.D.S AND M NADI D.D.S INC NPI is 1144771445. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Smile San Pedro.

The provider's business location address is:

1622 S GAFFEY ST
SUITE #102
SAN PEDRO, CA
ZIP 90731-658
Phone: (310) 548-8128
Fax: (310) 548-8138

The provider's authorized official is Kayvon Javid .
The authorized official title is Owner/dds and has the following contact phone number (310) 548-8128.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 7/8/2022.


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 Practice48617CALIFORNIANo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

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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