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SMILE EXPRESS INC. NPI 1275802894


NPI Information

NPI: 1275802894
Provider Name: SMILE EXPRESS INC.

Doing Business As: PARKRIDGE DENTAL SPA

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
520 E PARKRIDGE AVE
CORONA, CA
ZIP 92879
Phone: (951) 735-0200
Get Directions

SMILE EXPRESS INC. is a general practice dentist in Corona, 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. SMILE EXPRESS INC. NPI is 1275802894. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Parkridge Dental Spa.

The provider's business location address is:

520 E PARKRIDGE AVE
CORONA, CA
ZIP 92879-040
Phone: (951) 735-0200

The provider's authorized official is Coracel T Johnson .
The authorized official title is Principal Partner and has the following contact phone number (951) 735-0200.

The enumeration date for this NPI number is 12/28/2011 and was last updated on 12/28/2011.


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 Practice45536CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
145536OTHERCALIFORNIADENTAL LICENSE

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: 11/14/2023

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