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LUBCZUK DENTAL CORPORATION NPI 1629387147


NPI Information

NPI: 1629387147
Provider Name: LUBCZUK DENTAL CORPORATION

Doing Business As: BROOKSIDE DENTAL ASSOCIATES

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
12 N 5TH STREET
REDLANDS, CA
ZIP 92373
Phone: (909) 798-7111
Get Directions

LUBCZUK DENTAL CORPORATION is a general practice dentist in Redlands, 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. LUBCZUK DENTAL CORPORATION NPI is 1629387147. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Brookside Dental Associates.

The provider's business location address is:

12 N 5TH STREET
REDLANDS, CA
ZIP 92373
Phone: (909) 798-7111
Fax: (909) 355-5862

The provider's authorized official is Andrzej Lubczuk .
The authorized official title is Dentist/president and has the following contact phone number (909) 489-1174.

The enumeration date for this NPI number is 10/1/2010 and was last updated on 7/26/2021.


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 Practice42568CALIFORNIAYes

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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