PUENTE HILLS DENTAL GROUP NPI 1467642280

NPI Information

NPI: 1467642280
Provider Name: PUENTE HILLS DENTAL GROUP
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
1850 S AZUSA AVE STE 202
HACIENDA HEIGHTS, CA
ZIP 91745
Phone: (626) 854-9530
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PUENTE HILLS DENTAL GROUP is a pediatric dentistry dentist in Hacienda Heights, 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. PUENTE HILLS DENTAL GROUP NPI is 1467642280. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1850 S AZUSA AVE STE 202
HACIENDA HEIGHTS, CA
ZIP 91745-853
Phone: (626) 854-9530

The provider's authorized official is Evangelos Rossopoulos .
The authorized official title is Owner and has the following contact phone number (626) 854-9530.

The enumeration date for this NPI number is 7/27/2007 and was last updated on 7/27/2007.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223P0700X	Dentist	Prosthodontics	36605	CALIFORNIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	31027	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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