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NEWPORT ENDODONTIC GROUP NPI 1366572679


NPI Information

NPI: 1366572679
Provider Name: NEWPORT ENDODONTIC GROUP
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
1441 AVOCADO AVE STE 401
NEWPORT BEACH, CA
ZIP 92660
Phone: (949) 644-0595
Get Directions

NEWPORT ENDODONTIC GROUP is an endodontics dentist in Newport Beach, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. NEWPORT ENDODONTIC GROUP NPI is 1366572679. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1441 AVOCADO AVE STE 401
NEWPORT BEACH, CA
ZIP 92660-705
Phone: (949) 644-0595
Fax: (949) 644-5082

The provider's authorized official is John Buoncristiani .
The authorized official title is Partner and has the following contact phone number (949) 644-0595.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 8/22/2020.


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
11223E0200XDentistEndodonticsCALIFORNIAYes

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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