MAXWELL DENTAL CORPORATION NPI 1538389069

NPI Information

  • NPI: 1538389069
  • Provider Name: MAXWELL DENTAL CORPORATION
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 6828 LA TIJERA BLVD
    LOS ANGELES, CA
    ZIP 90045
  • Phone: (310) 216-0971

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NPI Details

MAXWELL DENTAL CORPORATION is a dental clinic center in Los Angeles, CA. MAXWELL DENTAL CORPORATION NPI is 1538389069. The provider is registered as an organization entity type.

The provider's business location address is:

6828 LA TIJERA BLVD
LOS ANGELES, CA
ZIP 90045-905
Phone: (310) 216-0971
Fax: (310) 216-1530

The provider's authorized official is Frandsen Dorsey Maxwell .
The authorized official title is Ceo,president,dentist and has the following contact phone number (310) 216-0971.

The enumeration date for this NPI number is 4/26/2007 and was last updated on 9/30/2008.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental35944CALIFORNIAYes

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
1B03594401OTHERCALIFORNIADENTI-CAL
2662491OTHERCALIFORNIAUNITED CONCORDIA

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: 3/30/2025

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