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PORTILLA DENTAL GROUP NPI 1831467265


NPI Information

NPI: 1831467265
Provider Name: PORTILLA DENTAL GROUP

Doing Business As: A DENTAL SPOT

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
200 N ASH ST STE 200
ESCONDIDO, CA
ZIP 92027
Phone: (760) 738-8300
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PORTILLA DENTAL GROUP is a general practice dentist in Escondido, 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. PORTILLA DENTAL GROUP NPI is 1831467265. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As A Dental Spot.

The provider's business location address is:

200 N ASH ST STE 200
ESCONDIDO, CA
ZIP 92027-024
Phone: (760) 738-8300
Fax: (760) 738-9400

The provider's authorized official is Harold Portilla .
The authorized official title is Owner and has the following contact phone number (760) 738-8300.

The enumeration date for this NPI number is 12/13/2011 and was last updated on 12/13/2011.


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 Practice51989CALIFORNIAYes

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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