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WORMSER SMILES DENTAL OFFICE INC NPI 1659811065


NPI Information

NPI: 1659811065
Provider Name: WORMSER SMILES DENTAL OFFICE INC
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
910 VIA DE LA PAZ
SUITE 108
PACIFIC PALISADES, CA
ZIP 90272
Phone: (310) 454-3732
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WORMSER SMILES DENTAL OFFICE INC is a general practice dentist in Pacific Palisades, 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. WORMSER SMILES DENTAL OFFICE INC NPI is 1659811065. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

910 VIA DE LA PAZ
SUITE 108
PACIFIC PALISADES, CA
ZIP 90272-515
Phone: (310) 454-3732
Fax: (310) 459-2245

The provider's authorized official is Ronald Philip Wormser .
The authorized official title is Owner and has the following contact phone number (310) 454-3732.

The enumeration date for this NPI number is 3/3/2017 and was last updated on 3/3/2017.


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 Practice28832CALIFORNIAYes

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: 11/14/2023

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