SIMI CHILDRENS DENTAL GROUP NPI 1912020595

NPI Information

  • NPI: 1912020595
  • Provider Name: SIMI CHILDRENS DENTAL GROUP
  • Classification: Dentist - 1223P0221X
  • Specialization: Pediatric Dentistry
  • Entity Type: Organization
  • Address: 1755 ERRINGER RD
    SUITE 20
    SIMI VALLEY, CA
    ZIP 93065
  • Phone: (805) 522-2164

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NPI Details

SIMI CHILDRENS DENTAL GROUP is a pediatric dentistry dentist in Simi Valley, CA. The provider is an age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. SIMI CHILDRENS DENTAL GROUP NPI is 1912020595. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1755 ERRINGER RD
SUITE 20
SIMI VALLEY, CA
ZIP 93065-507
Phone: (805) 522-2164
Fax: (805) 522-9849

The provider's authorized official is Nina Mandelman .
The authorized official title is Partner and has the following contact phone number (805) 522-2164.

The enumeration date for this NPI number is 4/9/2007 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
11223P0221XDentistPediatric DentistryD 44936CALIFORNIAYes

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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