UCLA FACULTY GROUP DENTAL PRACTICE NPI 1700978780

NPI Information

  • NPI: 1700978780
  • Provider Name: UCLA FACULTY GROUP DENTAL PRACTICE
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 100 UCLA MEDICAL PLZ STE 350
    LOS ANGELES, CA
    ZIP 90095
  • Phone: (310) 794-5750

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NPI Details

UCLA FACULTY GROUP DENTAL PRACTICE is an endodontics dentist in Los Angeles, 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. UCLA FACULTY GROUP DENTAL PRACTICE NPI is 1700978780. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

100 UCLA MEDICAL PLZ STE 350
LOS ANGELES, CA
ZIP 90095-001
Phone: (310) 794-5750
Fax: (310) 208-0786

The provider's authorized official is Rochelle Bache .
The authorized official title is Office Manager and has the following contact phone number (310) 794-5750.

The enumeration date for this NPI number is 9/28/2006 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics2024CALIFORNIAYes
21223G0001XDentistGeneral Practice2021CALIFORNIAX
31223P0221XDentistPediatric Dentistry2021CALIFORNIAX
41223P0700XDentistProsthodontics2029CALIFORNIAX
51223S0112XDentistOral and Maxillofacial Surgery2026CALIFORNIAX
61223X0400XDentistOrthodontics and Dentofacial Orthopedics2023CALIFORNIAX
7124Q00000XDental Hygienist2021CALIFORNIAX

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: 3/30/2025

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