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PRATIMA S. GOWDAR DDS INC NPI 1275924995


NPI Information

NPI: 1275924995
Provider Name: PRATIMA S. GOWDAR, DDS, INC

Doing Business As: SMILE OCEAN DENTAL PRACTICE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4655 CASS ST. STE 104,
SAN DIEGO, CA
ZIP 92109
Phone: (858) 483-3302
Get Directions

PRATIMA S. GOWDAR, DDS, INC is a general practice dentist in San Diego, 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. PRATIMA S. GOWDAR, DDS, INC NPI is 1275924995. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Smile Ocean Dental Practice.

The provider's business location address is:

4655 CASS ST. STE 104,
SAN DIEGO, CA
ZIP 92109
Phone: (858) 483-3302

The provider's authorized official is Pratima S Gowdar .
The authorized official title is Dentist/president and has the following contact phone number (585) 483-3302.

The enumeration date for this NPI number is 2/17/2015 and was last updated on 2/17/2015.


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

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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