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SANTA CRUZ CHILDREN'S DENTAL GROUP NPI 1245533538


NPI Information

NPI: 1245533538
Provider Name: SANTA CRUZ CHILDREN'S DENTAL GROUP
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1667 DOMINICAN WAY STE 232
SANTA CRUZ, CA
ZIP 95065
Phone: (831) 476-5520
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SANTA CRUZ CHILDREN'S DENTAL GROUP is a pediatric dentistry dentist in Santa Cruz, 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. SANTA CRUZ CHILDREN'S DENTAL GROUP NPI is 1245533538. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1667 DOMINICAN WAY STE 232
SANTA CRUZ, CA
ZIP 95065-560
Phone: (831) 476-5520
Fax: (831) 476-5584

The provider's authorized official is Ryan C Wittwer .
The authorized official title is Owner and has the following contact phone number (831) 476-5520.

The enumeration date for this NPI number is 12/8/2010 and was last updated on 12/8/2010.


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 Dentistry56989CALIFORNIAYes

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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