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NEWSOM FORESTER DENTAL PARTNERSHIP NPI 1790127173


NPI Information

NPI: 1790127173
Provider Name: NEWSOM FORESTER DENTAL PARTNERSHIP

Doing Business As: COASTAL PEDIATRIC DENTISTRY

Classification: Dentist - 1223P0221X
Entity Type: Organization

Specialization: Pediatric Dentistry

Address:
620 CALIFORNIA BLVD
SUITE G
SAN LUIS OBISPO, CA
ZIP 93401
Phone: (805) 592-2020
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NEWSOM FORESTER DENTAL PARTNERSHIP is a pediatric dentistry dentist in San Luis Obispo, 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. NEWSOM FORESTER DENTAL PARTNERSHIP NPI is 1790127173. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Coastal Pediatric Dentistry.

The provider's business location address is:

620 CALIFORNIA BLVD
SUITE G
SAN LUIS OBISPO, CA
ZIP 93401-541
Phone: (805) 592-2020
Fax: (805) 592-2022

The provider's authorized official is James Alexander Forester .
The authorized official title is Co-owner/partner and has the following contact phone number (805) 592-2020.

The enumeration date for this NPI number is 7/25/2013 and was last updated on 7/25/2013.


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 Dentistry55823CALIFORNIANo
21223P0221XDentistPediatric Dentistry50253CALIFORNIAYes

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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