DR. KELSEY BRITTANY CORIA DDS NPI 1689139065

NPI Information

NPI: 1689139065
Provider Name: DR. KELSEY BRITTANY CORIA, DDS
Classification: Dentist - 1223P0221X
Entity Type: Individual

Specialization: Pediatric Dentistry

Address:
120 C AVE STE 100
CORONADO, CA
ZIP 92118
Phone: (209) 518-9612
Get Directions

DR. Kelsey Brittany Coria, DDS is a pediatric dentistry dentist in Coronado, 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. DR. Kelsey Brittany Coria, DDS NPI is 1689139065. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

120 C AVE STE 100
CORONADO, CA
ZIP 92118-992
Phone: (209) 518-9612

The enumeration date for this NPI number is 2/9/2019 and was last updated on 11/29/2021.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	390200000X	Student in an Organized Health Care Education/Training Program				No
2	1223P0221X	Dentist	Pediatric Dentistry	105480	CALIFORNIA	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1659768802	MEDICAID	CALIFORNIA

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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