OMNI ON PREMISES NPI 1740040682

NPI Information

NPI: 1740040682
Provider Name: OMNI ON PREMISES
Classification: Dentist - 1223G0001X
Specialization: General Practice
Entity Type: Organization
Address: 4647 LONG BEACH BLVD STE D5
LONG BEACH, CA
ZIP 90805
Phone: (562) 453-0525

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NPI Details

OMNI ON PREMISES is a general practice dentist in Long Beach, 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. OMNI ON PREMISES NPI is 1740040682. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

4647 LONG BEACH BLVD STE D5
LONG BEACH, CA
ZIP 90805-976
Phone: (562) 453-0525
Fax: (562) 980-0020

The provider's authorized official is Christopher Doane .
The authorized official title is Doctor and has the following contact phone number (805) 450-7329.

The enumeration date for this NPI number is 3/19/2024 and was last updated on 3/19/2024.

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	Primary
1	1223G0001X	Dentist	General Practice	Yes
2	1223P0700X	Dentist	Prosthodontics	No
3	1223S0112X	Dentist	Oral and Maxillofacial Surgery	No
4	1223X0008X	Dentist	Oral and Maxillofacial Radiology	No

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: 11/21/2025

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