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OMER M ANISSO DDS INC NPI 1952714149


NPI Information

NPI: 1952714149
Provider Name: OMER M ANISSO DDS INC

Doing Business As: LA COSTA DENTAL GROUP

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
501 N EL CAMINO REAL STE 200
ENCINITAS, CA
ZIP 92024
Phone: (760) 436-2452
Get Directions

OMER M ANISSO DDS INC is a dentist in Encinitas, CA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. OMER M ANISSO DDS INC NPI is 1952714149. The provider is registered as an organization entity type.
The provider Is Doing Business As La Costa Dental Group.

The provider's business location address is:

501 N EL CAMINO REAL STE 200
ENCINITAS, CA
ZIP 92024-335
Phone: (760) 436-2452

The provider's authorized official is Omer Anisso .
The authorized official title is Owner and has the following contact phone number (760) 436-2452.

The enumeration date for this NPI number is 6/5/2014 and was last updated on 2/9/2022.


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
1332BC3200XDurable Medical Equipment & Medical SuppliesCustomized EquipmentNo
2122300000XDentist54467CALIFORNIAYes

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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