The Health Trust

LBN: Children'S Dental Initiative
The Health Trust is an health care organization with primary practice located at 645 Wool Creek Dr , San Jose CA 95112-2617. The organization recently has only one registered license in Ambulatory Health Care Facilities / Dental, which is considered as the primary health care specialty. Children'S Dental Initiative can be contacted via phone (408) 961-9869, or through Holtzman, Ira via phone (408) 961-9869.

Contact Information

Primary practice address
645 Wool Creek Dr San Jose CA 95112-2617
Phone: (408) 961-9869
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Holtzman, Ira
Phone: (408) 961-9869

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Dental 261QD0000X G91493-01 California

Profile Details

NPI number 1790900215
LBN Legal business name Children'S Dental Initiative
DBA Doing business as The Health Trust
Authorized official Holtzman, Ira
Entity Organization
Organization subpart 1 No
Enumeration date Apr 17th, 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1790900215 NPPES
California MEDICAID G91493-01

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