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K. JAVID DDS & M NADI DDS INC NPI 1720539042


NPI Information

NPI: 1720539042
Provider Name: K. JAVID DDS & M NADI DDS INC

Doing Business As: DR. SMILE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1622 S GAFFEY ST
SUITE #102
SAN PEDRO, CA
ZIP 90731
Phone: (310) 548-8128
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K. JAVID DDS & M NADI DDS INC is a general practice dentist in San Pedro, 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. K. JAVID DDS & M NADI DDS INC NPI is 1720539042. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Dr. Smile.

The provider's business location address is:

1622 S GAFFEY ST
SUITE #102
SAN PEDRO, CA
ZIP 90731-658
Phone: (310) 548-8128
Fax: (310) 539-4111

The provider's authorized official is Kayvon Javid .
The authorized official title is Owner/dds and has the following contact phone number (310) 548-8128.

The enumeration date for this NPI number is 10/21/2016 and was last updated on 10/21/2016.


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 Practice48617CALIFORNIAYes

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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