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SOUTHWEST DENTAL CENTER INC. NPI 1942442777


NPI Information

NPI: 1942442777
Provider Name: SOUTHWEST DENTAL CENTER INC.

Doing Business As: HI DESERT DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1745 W AVENUE K
SUITE C
LANCASTER, CA
ZIP 93534
Phone: (661) 723-5400
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SOUTHWEST DENTAL CENTER INC. is a general practice dentist in Lancaster, 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. SOUTHWEST DENTAL CENTER INC. NPI is 1942442777. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Hi Desert Dental Center.

The provider's business location address is:

1745 W AVENUE K
SUITE C
LANCASTER, CA
ZIP 93534-501
Phone: (661) 723-5400
Fax: (661) 723-3944

The provider's authorized official is Leoneed Gordon .
The authorized official title is Owner and has the following contact phone number (661) 723-5400.

The enumeration date for this NPI number is 3/25/2009 and was last updated on 7/27/2016.


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
11223G0001XDentistGeneral Practice43266CALIFORNIANo
21223G0001XDentistGeneral Practice32936CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1571310977OTHERCALIFORNIAGORDON
232936OTHERCALIFORNIALICENSE
3=========OTHERCALIFORNIAGORDON
443622OTHERCALIFORNIALICENSE

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: 5/5/2024

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