Ivy Endotontic Group

LBN: Um Dental Inc
Ivy Endotontic Group is an health care organization with primary practice located at 4040 Barranca Pkwy Ste 135A , Irvine CA 92604-4773. The organization recently has 2 registered licenses in different health care specialties including Dental Providers / Endodontics, Ambulatory Health Care Facilities / Dental. Ambulatory Health Care Facilities / Dental is the primary health care specialty. Um Dental Inc can be contacted via phone (949) 262-1300, or through Um, Mary via phone (248) 943-2307.

Contact Information

Primary practice address
4040 Barranca Pkwy Ste 135A Irvine CA 92604-4773
Phone: (949) 262-1300
Fax: (949) 262-0453
Website:
Map and Directions
Authorized official contact:
Name: Um, Mary Doctor of Dental Surgery (DDS)
Phone: (248) 943-2307

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Endodontics 1223E0200X
Ambulatory Health Care Facilities / Dental 261QD0000X

Profile Details

NPI number 1821757089
LBN Legal business name Um Dental Inc
DBA Doing business as Ivy Endotontic Group
Authorized official Um, Mary Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Dec 14th, 2021
Last updated May 10th, 2022 - about 2 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 1821757089 NPPES
California Other 107104 DENTIST

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