COMMUNITY ORAL HEALTH SERVICES NPI 1003005307

NPI Information

NPI: 1003005307
Provider Name: COMMUNITY ORAL HEALTH SERVICES
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
801 WALNUT AVE
GREENFIELD, CA
ZIP 93927
Phone: (831) 674-1570
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COMMUNITY ORAL HEALTH SERVICES is a dental clinic center in Greenfield, CA. COMMUNITY ORAL HEALTH SERVICES NPI is 1003005307. The provider is registered as an organization entity type.

The provider's business location address is:

801 WALNUT AVE
GREENFIELD, CA
ZIP 93927-938
Phone: (831) 674-1570
Fax: (831) 674-9058

The provider's authorized official is Debra Ann Diaz .
The authorized official title is Executive Director and has the following contact phone number (831) 422-6889.

The enumeration date for this NPI number is 10/23/2007 and was last updated on 10/25/2007.

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	261QD0000X	Clinic/Center	Dental			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G92048-01	OTHER	CALIFORNIA	DENTI-CAL

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: 11/14/2023

NPI Synchronization or Removal

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