Central Coast Pediatric Dental Group

LBN: Central Coast Pediatric Dental Group
Central Coast Pediatric Dental Group is an health care organization with primary practice located at 633 E Alvin Dr Ste B , Salinas CA 93906-3000. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Central Coast Pediatric Dental Group can be contacted via phone (831) 443-1177, or through Lizaola, Anna M via phone (831) 442-8878.

Contact Information

Primary practice address
633 E Alvin Dr Ste B Salinas CA 93906-3000
Phone: (831) 443-1177
Fax: (831) 443-0705
Website:
Map and Directions
Authorized official contact:
Name: Lizaola, Anna M
Phone: (831) 442-8878

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 37400 California

Profile Details

NPI number 1205922705
LBN Legal business name Central Coast Pediatric Dental Group
DBA Doing business as
Authorized official Lizaola, Anna M
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Mar 29th, 2021 - about 4 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1205922705 NPPES
California MEDICAID G9087502

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