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PACIFIC DENTAL CLINIC NPI 1750575403


NPI Information

NPI: 1750575403
Provider Name: PACIFIC DENTAL CLINIC
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization
Address:
1201 N EUCLID ST
ANAHEIM, CA
ZIP 92801
Phone: (714) 817-8345
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PACIFIC DENTAL CLINIC is a preferred provider organization in Anaheim, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. PACIFIC DENTAL CLINIC NPI is 1750575403. The provider is registered as an organization entity type.

The provider's business location address is:

1201 N EUCLID ST
ANAHEIM, CA
ZIP 92801-954
Phone: (714) 817-8345
Fax: (714) 224-7688

The provider's authorized official is Jorge Luis Geronimo .
The authorized official title is Dentist and has the following contact phone number (714) 817-8345.

The enumeration date for this NPI number is 9/5/2007 and was last updated on 9/5/2007.


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
1305R00000XPreferred Provider Organization47897CALIFORNIAYes

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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