MOBILE DENTISTRY OF CA INC NPI 1174975882

NPI Information

NPI: 1174975882
Provider Name: MOBILE DENTISTRY OF CA INC
Classification: Durable Medical Equipment & Medical Supplies - 332BC3200X
Entity Type: Organization

Specialization: Customized Equipment

Address:
13522 NEWPORT AVE
SUITE 102
TUSTIN, CA
ZIP 92780
Phone: (949) 529-1095
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MOBILE DENTISTRY OF CA INC is a customized equipment durable medical equipment medical supplies in Tustin, CA. MOBILE DENTISTRY OF CA INC NPI is 1174975882. The provider is registered as an organization entity type.

The provider's business location address is:

13522 NEWPORT AVE
SUITE 102
TUSTIN, CA
ZIP 92780-707
Phone: (949) 529-1095
Fax: (949) 417-0292

The provider's authorized official is Vijay Jain .
The authorized official title is Owner and has the following contact phone number (949) 529-1095.

The enumeration date for this NPI number is 7/6/2016 and was last updated on 7/6/2016.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	332BC3200X	Durable Medical Equipment & Medical Supplies	Customized Equipment	61024	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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