Mission Pediatric Dentistry

LBN: Mission Pediatric Dentistry
Mission Pediatric Dentistry is an health care organization with primary practice located at 27800 Medical Center Rd Ste 332 , Mission Viejo CA 92691-6409. 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. Mission Pediatric Dentistry can be contacted via phone (949) 364-1141, or through John, Pedersen via phone (949) 364-1171.

Contact Information

Primary practice address
27800 Medical Center Rd Ste 332 Mission Viejo CA 92691-6409
Phone: (949) 364-1141
Fax:
Website:
Map and Directions
Authorized official contact:
Name: John, Pedersen Doctor of Dental Surgery (DDS)
Phone: (949) 364-1171

Health care specialties

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

Profile Details

NPI number 1629124128
LBN Legal business name Mission Pediatric Dentistry
DBA Doing business as
Authorized official John, Pedersen Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jan 26th, 2007
Last updated Sep 13th, 2007 - about 18 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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