CHULA VISTA PERIODONTICS NPI 1164657128

NPI Information

  • NPI: 1164657128
  • Provider Name: CHULA VISTA PERIODONTICS
  • Classification: Dentist - 1223P0300X
  • Specialization: Periodontics
  • Entity Type: Organization
  • Doing Business As: CHULA VISTA PERIODONTICS
  • Address: 345 F ST STE 240
    CHULA VISTA, CA
    ZIP 91910
  • Phone: (619) 425-9770

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NPI Details

CHULA VISTA PERIODONTICS is a periodontics dentist in Chula Vista, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CHULA VISTA PERIODONTICS NPI is 1164657128. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Chula Vista Periodontics.

The provider's business location address is:

345 F ST STE 240
CHULA VISTA, CA
ZIP 91910-634
Phone: (619) 425-9770
Fax: (619) 425-9797

The provider's authorized official is Susan Nguyen .
The authorized official title is Periodontist and has the following contact phone number (619) 425-9770.

The enumeration date for this NPI number is 5/20/2009 and was last updated on 5/20/2009.

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
11223P0300XDentistPeriodontics48526CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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