KIDEOG PARK NPI 1861010845

NPI Information

NPI: 1861010845
Provider Name: KIDEOG PARK
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
9618 GARDEN GROVE BLVD STE 208
GARDEN GROVE, CA
ZIP 92844
Phone: (714) 537-9380
Get Directions

Kideog Park is a general practice dentist in Garden Grove, 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. Kideog Park NPI is 1861010845. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

9618 GARDEN GROVE BLVD STE 208
GARDEN GROVE, CA
ZIP 92844-566
Phone: (714) 537-9380
Fax: (714) 537-2593

The enumeration date for this NPI number is 7/7/2020 and was last updated on 7/7/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	1223G0001X	Dentist	General Practice	102006	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »