Columbia Dental Specialty Group

LBN: Columbia Dental Specialty Group
Columbia Dental Specialty Group is an health care organization with primary practice located at 1807 Wilshire Blvd Ste A, Santa Monica CA 90403-5652. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / Periodontics. Dental Providers / Periodontics is the primary health care specialty. Columbia Dental Specialty Group can be contacted via phone (310) 264-1711, or through Chang, Jennifer via phone (310) 264-1711.

Contact Information

Primary practice address
1807 Wilshire Blvd Ste A Santa Monica CA 90403-5652
Phone: (310) 264-1711
Fax: (310) 453-6486
Website:
Map and Directions
Authorized official contact:
Name: Chang, Jennifer Doctor of Dental Surgery (DDS)
Phone: (310) 264-1711

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 59653 California
Dental Providers / Periodontics 1223P0300X 53057 California

Profile Details

NPI number 1851790661
LBN Legal business name Columbia Dental Specialty Group
DBA Doing business as
Authorized official Chang, Jennifer Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Aug 18th, 2014
Last updated Aug 18th, 2014 - about 10 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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