PREMIER PEDIATRIC DENTISTRY INC NPI 1033932363

NPI Information

  • NPI: 1033932363
  • Provider Name: PREMIER PEDIATRIC DENTISTRY INC
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 24541 PACIFIC PARK DR STE 240
    ALISO VIEJO, CA
    ZIP 92656
  • Phone: (949) 880-6683

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NPI Details

PREMIER PEDIATRIC DENTISTRY INC is a pediatric dentistry dentist in Aliso Viejo, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. PREMIER PEDIATRIC DENTISTRY INC NPI is 1033932363. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

24541 PACIFIC PARK DR STE 240
ALISO VIEJO, CA
ZIP 92656-050
Phone: (949) 880-6683

The provider's authorized official is Daggiana L Corgnell .
The authorized official title is Office Manager and has the following contact phone number (949) 880-6683.

The enumeration date for this NPI number is 11/5/2024 and was last updated on 11/5/2024.

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
11223P0221XDentistPediatric DentistryYes

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: 11/21/2025

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