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FAISON & FAISON A PROFESSIONAL DENTAL CORPORATION NPI 1154314060


NPI Information

NPI: 1154314060
Provider Name: FAISON & FAISON A PROFESSIONAL DENTAL CORPORATION

Doing Business As: ST FRANCIS HOSPITAL DENTAL GROUP

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
411 S LONG BEACH BLVD
COMPTON, CA
ZIP 90221
Phone: (310) 537-2217
Get Directions

FAISON & FAISON A PROFESSIONAL DENTAL CORPORATION is a pediatric dentistry dentist in Compton, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. FAISON & FAISON A PROFESSIONAL DENTAL CORPORATION NPI is 1154314060. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As St Francis Hospital Dental Group.

The provider's business location address is:

411 S LONG BEACH BLVD
COMPTON, CA
ZIP 90221-427
Phone: (310) 537-2217
Fax: (310) 537-8062

The provider's authorized official is Alphonso Faison .
The authorized official title is Corporation Secretary and has the following contact phone number (310) 537-2217.

The enumeration date for this NPI number is 8/25/2005 and was last updated on 8/22/2020.


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
11223P0221XDentistPediatric Dentistry37330CALIFORNIANo
21223P0221XDentistPediatric Dentistry25252CALIFORNIAYes

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
1B2525202OTHERCALIFORNIADENTI-CAL

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: 11/14/2023

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