Provider Type Icon

KIDS COMMUNITY CLINIC OF BURBANK NPI 1487056180


NPI Information

NPI: 1487056180
Provider Name: KIDS COMMUNITY CLINIC OF BURBANK

Doing Business As: KIDS' COMMUNITY DENTAL CLINIC

Classification: Dentist - 122300000X
Entity Type: Organization
Address:
400 W ELMWOOD AVE
BURBANK, CA
ZIP 91506
Phone: (818) 841-8010
Get Directions

KIDS COMMUNITY CLINIC OF BURBANK is a dentist in Burbank, CA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. KIDS COMMUNITY CLINIC OF BURBANK NPI is 1487056180. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Kids' Community Dental Clinic.

The provider's business location address is:

400 W ELMWOOD AVE
BURBANK, CA
ZIP 91506-304
Phone: (818) 841-8010
Fax: (818) 841-8006

The provider's authorized official is Richard Marias .
The authorized official title is Board President, Volunteer Dentist and has the following contact phone number (818) 841-8010.

The enumeration date for this NPI number is 9/24/2014 and was last updated on 9/24/2014.


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
1122300000XDentist032653CALIFORNIANo
2124Q00000XDental Hygienist27156CALIFORNIANo
3124Q00000XDental Hygienist27544CALIFORNIANo
4126800000XDental Assistant77534CALIFORNIANo
5122300000XDentistDE33337CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.