LANDMARK DENTAL NPI 1518403997

NPI Information

NPI: 1518403997
Provider Name: LANDMARK DENTAL
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
1023 N CHESTER AVE
BAKERSFIELD, CA
ZIP 93308
Phone: (661) 399-5539
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LANDMARK DENTAL is a dental clinic center in Bakersfield, CA. LANDMARK DENTAL NPI is 1518403997. The provider is registered as an organization entity type.

The provider's business location address is:

1023 N CHESTER AVE
BAKERSFIELD, CA
ZIP 93308-516
Phone: (661) 399-5539
Fax: (661) 399-5535

The provider's authorized official is Perry Y, Jue .
The authorized official title is Partner and has the following contact phone number (661) 399-5539.

The enumeration date for this NPI number is 1/10/2017 and was last updated on 1/10/2017.

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
1	261QD0000X	Clinic/Center	Dental	41430	CALIFORNIA	Yes
2	261QD0000X	Clinic/Center	Dental	33650	CALIFORNIA	No
3	261QD0000X	Clinic/Center	Dental	60937	CALIFORNIA	No

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	1295025930	OTHER	CALIFORNIA	DENTIST GENERAL
2	1730523879	OTHER	CALIFORNIA	DENTIST GENERAL
3	1558427252	OTHER	CALIFORNIA	DENTIST GENERAL

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: 5/5/2024

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