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PRIYAWAT AND KIM DENTAL SERVICES NPI 1801461561


NPI Information

NPI: 1801461561
Provider Name: PRIYAWAT AND KIM DENTAL SERVICES

Doing Business As: OMNIA DENTAL CARE

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
15911 POMONA RINCON RD STE 120
CHINO HILLS, CA
ZIP 91709
Phone: (909) 497-9449
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PRIYAWAT AND KIM DENTAL SERVICES is an oral and maxillofacial surgery clinic center in Chino Hills, CA. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. PRIYAWAT AND KIM DENTAL SERVICES NPI is 1801461561. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Omnia Dental Care.

The provider's business location address is:

15911 POMONA RINCON RD STE 120
CHINO HILLS, CA
ZIP 91709-567
Phone: (909) 497-9449
Fax: (844) 600-4099

The provider's authorized official is Carrick Bannatz .
The authorized official title is Office Manager and has the following contact phone number (909) 497-9449.

The enumeration date for this NPI number is 5/25/2021 and was last updated on 8/22/2023.


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 PracticeNo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

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
165123OTHERCALIFORNIADENTAL LICENSE

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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