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NEW IMAGE DENTISTRY NPI 1952647208


NPI Information

NPI: 1952647208
Provider Name: NEW IMAGE DENTISTRY

Other Name: MIRA MESA DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
819 D AVENUE, SUITE 101
NATIONAL CITY, CA
ZIP 91950
Phone: (619) 470-2558
Get Directions

NEW IMAGE DENTISTRY is a general practice dentist in National City, 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. NEW IMAGE DENTISTRY NPI is 1952647208. The provider is registered as an organization entity type.
The provider Other Name Is Mira Mesa Dental Care.

The provider's business location address is:

819 D AVENUE, SUITE 101
NATIONAL CITY, CA
ZIP 91950-465
Phone: (619) 470-2558
Fax: (619) 475-0799

The provider's authorized official is Rossana Tabal Alfonso .
The authorized official title is Owner and has the following contact phone number (619) 470-2558.

The enumeration date for this NPI number is 12/13/2012 and was last updated on 6/17/2016.


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
1305R00000XPreferred Provider Organization49220CALIFORNIANo
21223G0001XDentistGeneral 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
11013114156OTHERCALIFORNIAINDIVIDUAL NPI

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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