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VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM NPI 1356507800


NPI Information

NPI: 1356507800
Provider Name: VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM

Other Name: VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
14357 SEVENTH ST
VICTORVILLE, CA
ZIP 92395
Phone: (760) 951-9181
Get Directions

VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM is a general practice dentist in Victorville, 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. VICTOR VALLEY COMMUNITY DENTAL SERVICE PROGRAM NPI is 1356507800. The provider is registered as an organization entity type and is a single specialty group.
The provider Other Name Is Victor Valley Community Dental Service Program.

The provider's business location address is:

14357 SEVENTH ST
VICTORVILLE, CA
ZIP 92395-209
Phone: (760) 951-9181
Fax: (760) 951-9308

The provider's authorized official is John Francis Lindsay .
The authorized official title is Executive Director and has the following contact phone number (760) 951-9181.

The enumeration date for this NPI number is 8/4/2008 and was last updated on 8/4/2008.


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 Practice17394ARIZONAYes

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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