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HERITAGE ORAL SURGERY AND IMPLANT CENTERS NPI 1205479391


NPI Information

NPI: 1205479391
Provider Name: HERITAGE ORAL SURGERY AND IMPLANT CENTERS
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

CLIA Number: 05D2117624

Address:
27450 TOURNEY RD STE 160
VALENCIA, CA
ZIP 91355
Phone: (661) 253-3500
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HERITAGE ORAL SURGERY AND IMPLANT CENTERS is an oral and maxillofacial surgery dentist in Valencia, CA. The provider is an oral and maxillofacial surgery dentist 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. HERITAGE ORAL SURGERY AND IMPLANT CENTERS NPI is 1205479391. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

27450 TOURNEY RD STE 160
VALENCIA, CA
ZIP 91355-863
Phone: (661) 253-3500
Fax: (661) 253-1700

The provider's authorized official is Caramarie K Young .
The authorized official title is Practice Administrator and has the following contact phone number (661) 253-3500.

The CLIA number assigned to this NPI record is 05D2117624 - physician office with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/22/2019 and was last updated on 10/22/2019.


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
11223S0112XDentistOral 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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