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 1717 Fremont Blvd , Seaside CA 93955. 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) 899-5437, or through Lizaola, Anna M via phone (831) 442-8878.

Contact Information

Primary practice address
1717 Fremont Blvd Seaside CA 93955
Phone: (831) 899-5437
Fax: (831) 899-1188
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 1942333059
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 Mar 14th, 2007
Last updated Aug 22nd, 2020 - about 5 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 1942333059 NPPES
California MEDICAID G9087503

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