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UNITED DENTAL GROUP NPI 1275835407


NPI Information

NPI: 1275835407
Provider Name: UNITED DENTAL GROUP
Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
434 CAJON ST
SUITE 101
REDLANDS, CA
ZIP 92373
Phone: (909) 793-8793
Get Directions

UNITED DENTAL GROUP is an orthodontics and dentofacial orthopedics dentist in Redlands, CA. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. UNITED DENTAL GROUP NPI is 1275835407. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

434 CAJON ST
SUITE 101
REDLANDS, CA
ZIP 92373-978
Phone: (909) 793-8793

The provider's authorized official is Rafaela Delara .
The authorized official title is Administrator and has the following contact phone number (909) 793-8793.

The enumeration date for this NPI number is 11/19/2010 and was last updated on 11/19/2010.


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 Practice57581CALIFORNIANo
21223G0001XDentistGeneral Practice57930CALIFORNIANo
31223G0001XDentistGeneral Practice46985CALIFORNIANo
41223G0001XDentistGeneral Practice59318CALIFORNIANo
51223G0001XDentistGeneral Practice58057CALIFORNIANo
61223G0001XDentistGeneral Practice53832CALIFORNIANo
71223P0300XDentistPeriodontics38226CALIFORNIANo
81223S0112XDentistOral and Maxillofacial Surgery24358CALIFORNIANo
9124Q00000XDental Hygienist25296CALIFORNIANo
101223X0400XDentistOrthodontics and Dentofacial Orthopedics48644CALIFORNIAYes

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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