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CHILDREN'S DENTAL FOUNDATION NPI 1760517213


NPI Information

NPI: 1760517213
Provider Name: CHILDREN'S DENTAL FOUNDATION

Doing Business As: CHILDREN'S DENTAL HEALTH CLINIC

Classification: Dental Assistant - 126800000X
Entity Type: Organization

CLIA Number: 05D0707690

Address:
455 E COLUMBIA ST
LONG BEACH, CA
ZIP 90806
Phone: (562) 933-3141
Get Directions

CHILDREN'S DENTAL FOUNDATION is a dental assistant in Long Beach, CA. The provider is an individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. CHILDREN'S DENTAL FOUNDATION NPI is 1760517213. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Children's Dental Health Clinic.

The provider's business location address is:

455 E COLUMBIA ST
LONG BEACH, CA
ZIP 90806-620
Phone: (562) 933-3141
Fax: (562) 933-2049

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 CLIA number assigned to this NPI record is 05D0707690 - federally qualified health center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 2/23/2007 and was last updated on 8/22/2020.


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
1126800000XDental AssistantCALIFORNIAYes
21223E0200XDentistEndodonticsCALIFORNIAX
31223G0001XDentistGeneral PracticeCALIFORNIAX
41223P0221XDentistPediatric DentistryCALIFORNIAX
51223P0300XDentistPeriodonticsCALIFORNIAX
61223S0112XDentistOral and Maxillofacial SurgeryCALIFORNIAX
71223X0400XDentistOrthodontics and Dentofacial OrthopedicsCALIFORNIAX
8124Q00000XDental HygienistCALIFORNIAX

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
1G90360-01OTHERCALIFORNIADENTI-CAL PROVIDER NUMBER

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: 11/14/2023

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