Provider Type Icon

LADERA RANCH DENTISTRY NPI 1629178058


NPI Information

NPI: 1629178058
Provider Name: LADERA RANCH DENTISTRY

Doing Business As: LADERA RANCH DENTISTRY

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
25612 CROWN VALLEY PKWY
SUITE L-7
LADERA RANCH, CA
ZIP 92694
Phone: (949) 347-0800
Get Directions

LADERA RANCH DENTISTRY is a general practice dentist in Ladera Ranch, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. LADERA RANCH DENTISTRY NPI is 1629178058. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Ladera Ranch Dentistry.

The provider's business location address is:

25612 CROWN VALLEY PKWY
SUITE L-7
LADERA RANCH, CA
ZIP 92694-475
Phone: (949) 347-0800
Fax: (949) 606-7219

The provider's authorized official is David M. Cashman .
The authorized official title is President and has the following contact phone number (949) 347-0800.

The enumeration date for this NPI number is 9/25/2006 and was last updated on 8/18/2011.


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
11223G0001XDentistGeneral Practice26819CALIFORNIAYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11992153OTHERCALIFORNIAUNITED CONCORDIA
21992205OTHERCALIFORNIAUNITED 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: 4/28/2024

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.