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UNIVERSITY OF SOUTHERN CALIFORNIA NPI 1821168113


NPI Information

NPI: 1821168113
Provider Name: UNIVERSITY OF SOUTHERN CALIFORNIA

Doing Business As: USC SCHOOL OF DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
925 W 34TH ST
ROOM #151
LOS ANGELES, CA
ZIP 90089
Phone: (213) 740-7405
Get Directions

UNIVERSITY OF SOUTHERN CALIFORNIA is a general practice dentist in Los Angeles, 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. UNIVERSITY OF SOUTHERN CALIFORNIA NPI is 1821168113. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Usc School Of Dentistry.

The provider's business location address is:

925 W 34TH ST
ROOM #151
LOS ANGELES, CA
ZIP 90089-641
Phone: (213) 740-7405
Fax: (213) 740-4813

The provider's authorized official is Todd Dickey .
The authorized official title is Senior Vice President, Administrati and has the following contact phone number (213) 740-8184.

The enumeration date for this NPI number is 11/8/2006 and was last updated on 3/8/2010.


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
11223E0200XDentistEndodonticsNo
21223P0106XDentistOral and Maxillofacial PathologyNo
31223P0221XDentistPediatric DentistryNo
41223P0300XDentistPeriodonticsNo
51223P0700XDentistProsthodonticsNo
61223S0112XDentistOral and Maxillofacial SurgeryNo
71223X0008XDentistOral and Maxillofacial RadiologyNo
81223X0400XDentistOrthodontics and Dentofacial OrthopedicsNo
9124Q00000XDental HygienistNo
10126800000XDental AssistantNo
11126900000XDental Laboratory TechnicianNo
121223G0001XDentistGeneral PracticeYes

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
19117717OTHERCALIFORNIAUNITED CONCORDIA
2G0100701OTHERCALIFORNIAHEALTHY FAMILIES
3ZZZ34010ZOTHERCALIFORNIABLUE CROSS
4ZZZ34010ZOTHERBLUE SIELD
5G9059502OTHERCALIFORNIADENTICAL
6W16530MEDICARE ID-TYPE UNSPECIFIEDCALIFORNIA
7DC6562OTHERCALIFORNIARAILROAD MEDICARE
8G0100701OTHERCALIFORNIADENTICAL
9U0100701OTHERCALIFORNIADENTICAL

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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