MECHAEL PROFESSIONAL DENTAL CORPORATION NPI 1356455422

NPI Information

  • NPI: 1356455422
  • Provider Name: MECHAEL PROFESSIONAL DENTAL CORPORATION
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: EL CAJON FAMILY DENTAL
  • CLIA Number: 05D2299481
  • Address: 2720 FLETCHER PARKWAY
    EL CAJON, CA
    ZIP 92020
  • Phone: (619) 466-1292

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NPI Details

MECHAEL PROFESSIONAL DENTAL CORPORATION is a general practice dentist in El Cajon, 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. MECHAEL PROFESSIONAL DENTAL CORPORATION NPI is 1356455422. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As El Cajon Family Dental.

The provider's business location address is:

2720 FLETCHER PARKWAY
EL CAJON, CA
ZIP 92020
Phone: (619) 466-1292
Fax: (619) 466-1561

The provider's authorized official is Shatha Faraj Mechael .
The authorized official title is President/ceo and has the following contact phone number (619) 466-1292.

The CLIA number assigned to this NPI record is 05D2299481 - other - adult day health care ctr with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/18/2006 and was last updated on 7/21/2009.

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
11223G0001XDentistGeneral Practice31040CALIFORNIANo
21223G0001XDentistGeneral Practice47950CALIFORNIAYes

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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