NBDC SAN DIEGO NPI 1588842413

NPI Information

  • NPI: 1588842413
  • Provider Name: NBDC SAN DIEGO
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 2310 CRAVEN ST
    SAN DIEGO, CA
    ZIP 92136
  • Phone: (619) 556-8200

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NPI Details

NBDC SAN DIEGO is a dental clinic center in San Diego, CA. NBDC SAN DIEGO NPI is 1588842413. The provider is registered as an organization entity type.

The provider's business location address is:

2310 CRAVEN ST
SAN DIEGO, CA
ZIP 92136-596
Phone: (619) 556-8200

The provider's authorized official is Peter A Ruocco .
The authorized official title is Director For Dental Services and has the following contact phone number (619) 556-8200.

The enumeration date for this NPI number is 2/1/2008 and was last updated on 2/1/2008.

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/CenterDentalYes

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

NPI Synchronization or Removal

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