Peninsula Pediatric Dental Practice

LBN: Peninsula Pediatric Dental Practice
Peninsula Pediatric Dental Practice is an health care organization with primary practice located at 50 S San Mateo Dr Ste 160 , San Mateo CA 94401-3859. The organization recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as the primary health care specialty. Peninsula Pediatric Dental Practice can be contacted via phone (650) 375-8300, or through Murray, Jan via phone (650) 375-8300.

Contact Information

Primary practice address
50 S San Mateo Dr Ste 160 San Mateo CA 94401-3859
Phone: (650) 375-8300
Fax: (650) 375-8130
Website:
Map and Directions
Authorized official contact:
Name: Murray, Jan
Phone: (650) 375-8300

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Pediatric Dentistry 1223P0221X 22673 California
Dental Providers / Pediatric Dentistry 1223P0221X 61391 California

Profile Details

NPI number 1639590003
LBN Legal business name Peninsula Pediatric Dental Practice
DBA Doing business as
Authorized official Murray, Jan
Entity Organization
Organization subpart 1 No
Enumeration date Jan 2nd, 2014
Last updated Jan 2nd, 2014 - about 10 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 1639590003 NPPES
California Other 1386792919 DENTICAL
California Other 1386792919 DENTICAL

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