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SOUTH BAY ENDODONTICS NPI 1609010735


NPI Information

NPI: 1609010735
Provider Name: SOUTH BAY ENDODONTICS
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
885 CANARIOS CT
SUITE 208
CHULA VISTA, CA
ZIP 91910
Phone: (619) 421-3374
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SOUTH BAY ENDODONTICS is an endodontics dentist in Chula Vista, 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. SOUTH BAY ENDODONTICS NPI is 1609010735. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

885 CANARIOS CT
SUITE 208
CHULA VISTA, CA
ZIP 91910-877
Phone: (619) 421-3374
Fax: (619) 421-3410

The provider's authorized official is Duke Huynh Nguyen .
The authorized official title is Owner and has the following contact phone number (619) 421-3374.

The enumeration date for this NPI number is 4/20/2009 and was last updated on 4/20/2009.


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
11223E0200XDentistEndodontics47399CALIFORNIAYes

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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