Parkside Dental Care

LBN: Parkside Dental Care
Parkside Dental Care is an health care organization with primary practice located at 1325 Travis Blvd , Fairfield CA 94533-4611. The organization recently has 5 registered licenses in different health care specialties including Dental Providers / Endodontics, Dental Providers / General Practice, Dental Providers / Periodontics, Dental Providers / Oral and Maxillofacial Surgery, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / Endodontics is the primary health care specialty. Parkside Dental Care can be contacted via phone (707) 427-2222, or through Altman, Avril May via phone (707) 427-2222.

Contact Information

Primary practice address
1325 Travis Blvd Fairfield CA 94533-4611
Fax: (707) 427-0562
Website:
Authorized official contact:
Name: Altman, Avril May

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X 48710 California
Dental Providers / General Practice 1223G0001X 28479 California
Dental Providers / General Practice 1223G0001X 27964 California
Dental Providers / General Practice 1223G0001X 30117 California
Dental Providers / General Practice 1223G0001X 51677 California
Dental Providers / Periodontics 1223P0300X 49443 California
Dental Providers / Oral and Maxillofacial Surgery 1223S0112X 19300 California
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X 45580 California

Profile Details

NPI number 1720133796
LBN Legal business name Parkside Dental Care
DBA Doing business as
Authorized official Altman, Avril May
Entity Organization
Organization subpart 1 No
Enumeration date Jan 23rd, 2007
Last updated Aug 22nd, 2020 - about 5 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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