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MEHTA-PANDYA PROFESSIONAL DENTAL CORP NPI 1720225881


NPI Information

NPI: 1720225881
Provider Name: MEHTA-PANDYA PROFESSIONAL DENTAL CORP

Doing Business As: BAYSIDE DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1884 1/2 S PACIFIC COAST HWY
REDONDO BEACH, CA
ZIP 90277
Phone: (310) 792-4627
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MEHTA-PANDYA PROFESSIONAL DENTAL CORP is a general practice dentist in Redondo Beach, 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. MEHTA-PANDYA PROFESSIONAL DENTAL CORP NPI is 1720225881. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Bayside Dental Care.

The provider's business location address is:

1884 1/2 S PACIFIC COAST HWY
REDONDO BEACH, CA
ZIP 90277-117
Phone: (310) 792-4627
Fax: (310) 792-4629

The provider's authorized official is Mayur B Mehta .
The authorized official title is President and has the following contact phone number (310) 792-4627.

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


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
11223G0001XDentistGeneral Practice50805CALIFORNIANo
21223G0001XDentistGeneral Practice50491CALIFORNIAYes

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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