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UCLA SCHOOL OF DENTISTRY ESTHETIC NPI 1962545103


NPI Information

NPI: 1962545103
Provider Name: UCLA SCHOOL OF DENTISTRY ESTHETIC

Former Legal Business Name: ESTHETIC DENTISTRY DEPARTMENT- BILL YANCEY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
10833 LE CONTE AVE RM 33-064A
LOS ANGELES, CA
ZIP 90095
Phone: (310) 825-4736
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UCLA SCHOOL OF DENTISTRY ESTHETIC is a general practice dentist in Los Angeles, 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. UCLA SCHOOL OF DENTISTRY ESTHETIC NPI is 1962545103. The provider is registered as an organization entity type and is a single specialty group.
The provider Former Legal Business Name Is Esthetic Dentistry Department- Bill Yancey.

The provider's business location address is:

10833 LE CONTE AVE RM 33-064A
LOS ANGELES, CA
ZIP 90095-075
Phone: (310) 825-4736
Fax: (310) 267-2656

The provider's authorized official is William Yancey .
The authorized official title is Assistant Dean Of Cont Education and has the following contact phone number (310) 206-7557.

The enumeration date for this NPI number is 2/15/2007 and was last updated on 8/22/2020.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice21347CALIFORNIAYes

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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