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CHOKKA DENTAL CORPORATION NPI 1639270234


NPI Information

NPI: 1639270234
Provider Name: CHOKKA DENTAL CORPORATION

Doing Business As: IMPERIAL DENTAL PRACTICE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
34880 YUCAIPA BLVD
YUCAIPA, CA
ZIP 92399
Phone: (909) 797-1136
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CHOKKA DENTAL CORPORATION is a general practice dentist in Yucaipa, 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. CHOKKA DENTAL CORPORATION NPI is 1639270234. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Imperial Dental Practice.

The provider's business location address is:

34880 YUCAIPA BLVD
YUCAIPA, CA
ZIP 92399-235
Phone: (909) 797-1136
Fax: (909) 797-9866

The provider's authorized official is Sudhakar R Chokka .
The authorized official title is Owner Dds and has the following contact phone number (909) 797-1136.

The enumeration date for this NPI number is 9/26/2006 and was last updated on 8/22/2020.


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 Practice41376CALIFORNIAYes
21223P0300XDentistPeriodontics37772CALIFORNIAX
31223S0112XDentistOral and Maxillofacial SurgeryOMS19CALIFORNIAX
41223X0400XDentistOrthodontics and Dentofacial Orthopedics47275CALIFORNIAX

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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