Grand Orthodontics

LBN: Kendall S Woolridge D,D,S Pc
Grand Orthodontics is an health care organization with primary practice located at 310 E Grand Ave Ste 106 , El Segundo CA 90245-3871. The organization recently has only one registered license in Dental Providers / Orthodontics and Dentofacial Orthopedics, which is considered as the primary health care specialty. Kendall S Woolridge D,D,S Pc can be contacted via phone (310) 648-8781, or through Woolridge, Kendall Sherron via phone (310) 648-8781.

Contact Information

Primary practice address
310 E Grand Ave Ste 106 El Segundo CA 90245-3871
Phone: (310) 648-8781
Fax: (310) 648-8776
Website:
Map and Directions
Authorized official contact:
Name: Woolridge, Kendall Sherron Doctor of Dental Surgery (DDS)
Phone: (310) 648-8781

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 57096 California

Profile Details

NPI number 1609149533
LBN Legal business name Kendall S Woolridge D,D,S Pc
DBA Doing business as Grand Orthodontics
Authorized official Woolridge, Kendall Sherron Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Feb 23rd, 2012
Last updated Oct 5th, 2021 - about 3 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 1609149533 NPPES
California Other 1104006196 INDIVIDUAL NPI
California Other 1609159533 INDIVIDUAL NPI

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