DR. JEANNIE ANN MOLATO D.M.D. NPI 1184801789

NPI Information

NPI: 1184801789
Provider Name: DR. JEANNIE ANN MOLATO D.M.D.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
7133 SEPULVEDA BLVD.
VAN NUYS, CA
ZIP 91405
Phone: (818) 988-8184
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DR. JEANNIE ANN MOLATO D.M.D. is a dental clinic center in Van Nuys, CA. DR. JEANNIE ANN MOLATO D.M.D. NPI is 1184801789. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

7133 SEPULVEDA BLVD.
VAN NUYS, CA
ZIP 91405
Phone: (818) 988-8184
Fax: (818) 988-8727

The provider's authorized official is Jeannie Ann Molato .
The authorized official title is Owner/dentist and has the following contact phone number (818) 988-8184.

The enumeration date for this NPI number is 1/25/2008 and was last updated on 3/7/2023.

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	1223G0001X	Dentist	General Practice	48054	CALIFORNIA	No
2	261QD0000X	Clinic/Center	Dental	44948	CALIFORNIA	Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	44948	OTHER	CALIFORNIA	DENTAL LICENSE
2	B44948-O1	OTHER	CALIFORNIA	DENTI-CAL
3	319275608	OTHER	CALIFORNIA	ADA #

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: 5/5/2024

NPI Synchronization or Removal

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