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ASSISTANCE LEAGUE OF SAN BERNARDINO NPI 1780708768


NPI Information

NPI: 1780708768
Provider Name: ASSISTANCE LEAGUE OF SAN BERNARDINO
Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
580 W 6TH ST
SAN BERNARDINO, CA
ZIP 92410
Phone: (909) 885-2045
Get Directions

ASSISTANCE LEAGUE OF SAN BERNARDINO is a pediatric dentistry dentist in San Bernardino, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. ASSISTANCE LEAGUE OF SAN BERNARDINO NPI is 1780708768. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

580 W 6TH ST
SAN BERNARDINO, CA
ZIP 92410-002
Phone: (909) 885-2045
Fax: (909) 885-5900

The provider's authorized official is Cheryl Fulton Fischer .
The authorized official title is Chair, Dr. Earl R. Crane Children's and has the following contact phone number (909) 885-2045.

The enumeration date for this NPI number is 3/16/2007 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
11223P0221XDentistPediatric Dentistry54145CALIFORNIAYes

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

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.