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THE CHILDREN'S DENTAL FOUNDATION NPI 1710161880


NPI Information

NPI: 1710161880
Provider Name: THE CHILDREN'S DENTAL FOUNDATION
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
200 FALLS CANYON ROAD
AVALON, CA
ZIP 90704
Phone: (310) 510-8287
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THE CHILDREN'S DENTAL FOUNDATION is a dentist in Avalon, CA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. THE CHILDREN'S DENTAL FOUNDATION NPI is 1710161880. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

200 FALLS CANYON ROAD
AVALON, CA
ZIP 90704
Phone: (310) 510-8287

The provider's authorized official is John Blake .
The authorized official title is Dental Director and has the following contact phone number (562) 933-3141.

The enumeration date for this NPI number is 12/24/2007 and was last updated on 1/16/2009.


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
11223P0221XDentistPediatric DentistryNo
2126800000XDental AssistantNo
3122300000XDentistCALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G90360-03OTHERCALIFORNIADENTI-CAL STATE PROGRAM

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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