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FELDKAMP CAL SELECT DENTAL GROUP INC. NPI 1669036117


NPI Information

NPI: 1669036117
Provider Name: FELDKAMP CAL SELECT DENTAL GROUP, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
164 W HOSPITALITY LN STE 127
SAN BERNARDINO, CA
ZIP 92408
Phone: (909) 453-6600
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FELDKAMP CAL SELECT DENTAL GROUP, INC. is a general practice dentist in San Bernardino, 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. FELDKAMP CAL SELECT DENTAL GROUP, INC. NPI is 1669036117. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

164 W HOSPITALITY LN STE 127
SAN BERNARDINO, CA
ZIP 92408-316
Phone: (909) 453-6600

The provider's authorized official is Irving Moore Feldkamp Iii .
The authorized official title is Owner and has the following contact phone number (909) 453-6600.

The enumeration date for this NPI number is 4/30/2019 and was last updated on 8/18/2020.


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: 11/14/2023

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