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WESTERN DENTAL SERVICES INC. NPI 1154485654


NPI Information

NPI: 1154485654
Provider Name: WESTERN DENTAL SERVICES, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1530 BROADWAY
OAKLAND, CA
ZIP 94612
Phone: (510) 251-1000
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WESTERN DENTAL SERVICES, INC. is a general practice dentist in Oakland, 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. WESTERN DENTAL SERVICES, INC. NPI is 1154485654. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1530 BROADWAY
OAKLAND, CA
ZIP 94612-002
Phone: (510) 251-1000
Fax: (510) 251-9264

The provider's authorized official is Marina King .
The authorized official title is Ppo Coordinator and has the following contact phone number (714) 480-3000.

The enumeration date for this NPI number is 12/20/2006 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 PracticeYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G90179-35MEDICAIDCALIFORNIA

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

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