Grace Nantale Dds Inc

LBN: Grace Nantale Dds Inc
Grace Nantale Dds Inc is an health care organization with primary practice located at 828 Jackman St , El Cajon CA 92020-3053. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / General Practice, Dental Providers / Pediatric Dentistry. Dental Providers / Pediatric Dentistry is the primary health care specialty. Grace Nantale Dds Inc can be contacted via phone (619) 343-8167, or through Travers, Grace via phone (312) 342-2299.

Contact Information

Primary practice address
828 Jackman St El Cajon CA 92020-3053
Phone: (619) 343-8167
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Travers, Grace Doctor of Dental Surgery (DDS)
Phone: (312) 342-2299

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X
Dental Providers / Pediatric Dentistry 1223P0221X

Profile Details

NPI number 1134884588
LBN Legal business name Grace Nantale Dds Inc
DBA Doing business as
Authorized official Travers, Grace Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Nov 1st, 2021
Last updated Nov 1st, 2021 - 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 1134884588 NPPES
California Other 61514C DENTIST

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