Private Dental Group

LBN: Private Dental Group
Private Dental Group is an health care organization with primary practice located at 318 9Th St Ste B , Del Mar CA 92014-2805. 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 / Prosthodontics, Dental Providers / Orthodontics and Dentofacial Orthopedics. Dental Providers / General Practice is the primary health care specialty. Private Dental Group can be contacted via phone (858) 353-0185, or through Kim, Robert via phone (858) 722-5691.

Contact Information

Primary practice address
318 9Th St Ste B Del Mar CA 92014-2805
Phone: (858) 353-0185
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Kim, Robert Doctor of Dental Surgery (DDS)
Phone: (858) 722-5691

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Dental Providers / General Practice 1223G0001X
Dental Providers / Periodontics 1223P0300X
Dental Providers / Prosthodontics 1223P0700X
Dental Providers / Orthodontics and Dentofacial Orthopedics 1223X0400X

Profile Details

NPI number 1033609433
LBN Legal business name Private Dental Group
DBA Doing business as
Authorized official Kim, Robert Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date May 11th, 2018
Last updated May 11th, 2018 - about 6 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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