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KHALED EISSA DDS INC NPI 1952745895

NPI Profile

NPI: 1952745895

Provider Name: KHALED EISSA DDS INC

Classification: Dentist - 122300000X

Entity Type: Organization

Address:
31737 RIVERSIDE DR STE B
LAKE ELSINORE, CA
ZIP 92530

Phone: (951) 674-8707

KHALED EISSA DDS INC is a dentist in Lake Elsinore, 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. KHALED EISSA DDS INC NPI is 1952745895. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

31737 RIVERSIDE DR STE B
LAKE ELSINORE, CA
ZIP 92530-890
Phone: (951) 674-8707

The provider's authorized official is Khaled Eissa .
The authorized official title is C.e.o. and has the following contact phone number (763) 587-8345.

The enumeration date for this NPI number is 4/22/2013 and was last updated on 4/22/2013.

Map - Location of Practice

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 122300000X Dentist 59237 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: 7/13/2015