Children'S Dental Health Clinic
LBN: Children'S Dental Foundation
Children'S Dental Health Clinic is an health care organization with primary practice located at 455 E Columbia St , Long Beach CA 90806-1620. The organization recently has 8 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Pediatric Dentistry, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics, Dental Providers / Dental Hygienist, Dental Providers / Dental Assistant. Dental Providers / Endodontics is the primary health care specialty.
Children'S Dental Foundation can be contacted via phone (562) 933-3141, or through Blake, John via phone (562) 933-3141.
Contact Information
Primary practice address
455 E Columbia St
Long Beach CA 90806-1620
Phone: (562) 933-3141
Fax: (562) 933-2049
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Endodontics | 1223E0200X | California | |
| Dental Providers / General Practice | 1223G0001X | California | |
| Dental Providers / Pediatric Dentistry | 1223P0221X | California | |
| Dental Providers / Periodontics | 1223P0300X | California | |
| Dental Providers / Oral and Maxillofacial Surgery | 1223S0112X | California | |
| Dental Providers / Orthodontics and Dentofacial Orthopedics | 1223X0400X | California | |
| Dental Providers / Dental Hygienist | 124Q00000X | California | |
| Dental Providers / Dental Assistant | 126800000X | California |
Profile Details
| NPI number | 1760517213 |
|---|---|
| LBN Legal business name | Children'S Dental Foundation |
| DBA Doing business as | Children'S Dental Health Clinic |
| Authorized official | Blake, John Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | No |
| Enumeration date | Feb 23rd, 2007 |
| Last updated | Aug 22nd, 2020 - 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1760517213 | NPPES |
| California | Other | G90360-01 | DENTI-CAL PROVIDER NUMBER |
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