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KEITH T KOMATSU DDS APC NPI 1548837198


NPI Information

NPI: 1548837198
Provider Name: KEITH T KOMATSU DDS APC
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
1921 S CATALINA AVE STE 3
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 375-8012
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KEITH T KOMATSU DDS APC is an endodontics dentist in Redondo Beach, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. KEITH T KOMATSU DDS APC NPI is 1548837198. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1921 S CATALINA AVE STE 3
REDONDO BEACH, CA
ZIP 90277-516
Phone: (310) 375-8012
Fax: (310) 375-6482

The provider's authorized official is Keith Taro Komatsu .
The authorized official title is Owner and has the following contact phone number (310) 375-8012.

The enumeration date for this NPI number is 6/10/2021 and was last updated on 6/10/2021.


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
11223E0200XDentistEndodonticsYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.