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KEAN DENTAL INC NPI 1720302540


NPI Information

NPI: 1720302540
Provider Name: KEAN DENTAL INC

Doing Business As: ORANGE COUNTY DENTAL SPECIALISTS

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
15825 LAGUNA CANYON RD STE 206
IRVINE, CA
ZIP 92618
Phone: (949) 789-8989
Get Directions

KEAN DENTAL INC is a prosthodontics dentist in Irvine, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. KEAN DENTAL INC NPI is 1720302540. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Orange County Dental Specialists.

The provider's business location address is:

15825 LAGUNA CANYON RD STE 206
IRVINE, CA
ZIP 92618-127
Phone: (949) 789-8989
Fax: (949) 453-0970

The provider's authorized official is Kevin Christopher Kean .
The authorized official title is President and has the following contact phone number (949) 789-8989.

The enumeration date for this NPI number is 3/23/2010 and was last updated on 3/23/2010.


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
11223E0200XDentistEndodontics58039CALIFORNIANo
21223E0200XDentistEndodontics51085CALIFORNIANo
31223G0001XDentistGeneral Practice57739CALIFORNIANo
41223P0221XDentistPediatric Dentistry49934CALIFORNIANo
51223P0300XDentistPeriodontics24573CALIFORNIANo
61223P0300XDentistPeriodontics32308CALIFORNIANo
71223P0700XDentistProsthodontics30399CALIFORNIANo
81223S0112XDentistOral and Maxillofacial Surgery53163CALIFORNIANo
91223S0112XDentistOral and Maxillofacial Surgery56328CALIFORNIANo
101223X0400XDentistOrthodontics and Dentofacial Orthopedics53246CALIFORNIANo
111223X0400XDentistOrthodontics and Dentofacial Orthopedics30693CALIFORNIANo
121223P0700XDentistProsthodontics57195CALIFORNIAYes

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
11598916058OTHERCALIFORNIAALAN SHELHAMER
21225118417OTHERCALIFORNIASAM GILANI
31801003637OTHERCALIFORNIABRIAN THAI
41912114059OTHERCALIFORNIAALI MANOUCHEHRI
51598916058OTHERCALIFORNIAKEVIN KEAN
61124034129OTHERCALIFORNIAWILLIAM MIHRAM
71164698379OTHERCALIFORNIAFADI KATTAR
81184678930OTHERCALIFORNIACHRISTOPHER PACE
91245459379OTHERCALIFORNIAMASSOUD KASHANCHI
101720117534OTHERCALIFORNIAHAMILTON LE
111609944867OTHERCALIFORNIASTEVE MIAO

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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