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SUSAN A. BOLLINGER DDS INC. NPI 1376990382


NPI Information

NPI: 1376990382
Provider Name: SUSAN A. BOLLINGER, DDS, INC.

Doing Business As: BAYSHORE DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1401 AVOCADO AVE
SUITE 309
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 759-7007
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SUSAN A. BOLLINGER, DDS, INC. is a general practice dentist in Newport Beach, 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. SUSAN A. BOLLINGER, DDS, INC. NPI is 1376990382. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Bayshore Dental Group.

The provider's business location address is:

1401 AVOCADO AVE
SUITE 309
NEWPORT BEACH, CA
ZIP 92660-720
Phone: (949) 759-7007
Fax: (949) 644-0446

The provider's authorized official is Susan Adele Bollinger .
The authorized official title is Owner/president and has the following contact phone number (949) 759-7007.

The enumeration date for this NPI number is 5/19/2016 and was last updated on 5/19/2016.


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 Practice26589CALIFORNIAYes

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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