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REDLANDS ENDODONTICS NPI 1760987614


NPI Information

NPI: 1760987614
Provider Name: REDLANDS ENDODONTICS
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
245 TERRACINA BLVD SUITE 207 B
REDLANDS, CA
ZIP 92373
Phone: (909) 798-2228
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REDLANDS ENDODONTICS is an endodontics dentist in Redlands, 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. REDLANDS ENDODONTICS NPI is 1760987614. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

245 TERRACINA BLVD SUITE 207 B
REDLANDS, CA
ZIP 92373
Phone: (909) 798-2228
Fax: (909) 798-2224

The provider's authorized official is Jenelle Meredith Silvers .
The authorized official title is Endodontist and has the following contact phone number (717) 514-8227.

The enumeration date for this NPI number is 3/23/2018 and was last updated on 7/21/2022.


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
11223E0200XDentistEndodontics59904CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
11053613968OTHERINDIVIDUAL NPI

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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