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STATE FAMILY DENTAL NPI 1679964951


NPI Information

NPI: 1679964951
Provider Name: STATE FAMILY DENTAL
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
8928 STATE ST
SOUTH GATE, CA
ZIP 90280
Phone: (323) 567-2995
Get Directions

STATE FAMILY DENTAL is a general practice dentist in South Gate, 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. STATE FAMILY DENTAL NPI is 1679964951. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

8928 STATE ST
SOUTH GATE, CA
ZIP 90280-926
Phone: (323) 567-2995
Fax: (323) 567-2930

The provider's authorized official is Noran Jeong .
The authorized official title is President and has the following contact phone number (323) 567-2995.

The enumeration date for this NPI number is 2/9/2015 and was last updated on 2/9/2015.


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 Practice57737CALIFORNIAYes

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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