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CHILDREN'S DENTAL HEALTH CENTER OF SAN DIEGO NPI 1255453882


NPI Information

NPI: 1255453882
Provider Name: CHILDREN'S DENTAL HEALTH CENTER OF SAN DIEGO

Former Legal Business Name: SAN DIEGO CHILDREN'S DENTAL HEALTH CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1270 24TH ST
SAN DIEGO, CA
ZIP 92102
Phone: (619) 234-8131
Get Directions

CHILDREN'S DENTAL HEALTH CENTER OF SAN DIEGO is a general practice dentist in San Diego, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. CHILDREN'S DENTAL HEALTH CENTER OF SAN DIEGO NPI is 1255453882. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is San Diego Children's Dental Health Center.

The provider's business location address is:

1270 24TH ST
SAN DIEGO, CA
ZIP 92102-012
Phone: (619) 234-8131
Fax: (619) 234-0048

The provider's authorized official is Mariluci Costa Byrnes .
The authorized official title is Director Of Dental Operations and has the following contact phone number (619) 234-8131.

The enumeration date for this NPI number is 4/4/2007 and was last updated on 4/25/2024.


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
11223G0001XDentistGeneral PracticeYes

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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