Daniel T. Estacio, Dds, Inc.

LBN: Daniel T. Estacio, Dds, Inc.
Daniel T. Estacio, Dds, Inc. is an health care organization with primary practice located at 1140 E Chevy Chase Dr , Glendale CA 91205-2511. The organization recently has only one registered license in Managed Care Organizations / Preferred Provider Organization, which is considered as the primary health care specialty. Daniel T. Estacio, Dds, Inc. can be contacted via phone (818) 247-3387, or through Estacio, Daniel Toribio via phone (818) 247-3387.

Contact Information

Primary practice address
1140 E Chevy Chase Dr Glendale CA 91205-2511
Phone: (818) 247-3387
Fax: (818) 247-2680
Website:
Map and Directions
Authorized official contact:
Name: Estacio, Daniel Toribio Doctor of Dental Surgery (DDS)
Phone: (818) 247-3387

Health care specialties

SpecialtyCodeLicense #State
Managed Care Organizations / Preferred Provider Organization 305R00000X 47886 California

Profile Details

NPI number 1649467291
LBN Legal business name Daniel T. Estacio, Dds, Inc.
DBA Doing business as
Authorized official Estacio, Daniel Toribio Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Sep 27th, 2007
Last updated Sep 27th, 2007 - about 17 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 1649467291 NPPES
California Other G-93853-01 MEDI-CAL PROVIDER NO

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