Simi Childrens Dental Group in Simi Valley - Pediatric Dentistry
Simi Childrens Dental Group - NPI 1912020595
Simi Childrens Dental Group is a Pediatric Dentistry in Simi Valley, California. Simi Childrens Dental Group practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Simi Childrens Dental Group is 1912020595. The last update date is 2020-08-22.
Simi Childrens Dental Group's current location address is 1755 Erringer Rd, Simi Valley, California. You can contact this provider via phone number 8055222164 and fax number 8055229849. The mailing address for Simi Childrens Dental Group is 1755 Erringer Rd, Simi Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Simi Childrens Dental Group |
|---|---|
| Address | 1755 Erringer Rd, Simi Valley, California |
| Phone Number | 8055222164 |
| Fax Number | 8055229849 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Mandelman Nina |
| Credentials | DDS |
| Telephone Number | 8055222164 |
NPI Number Detail
| NPI Number | 1912020595 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1755 Erringer Rd |
|---|---|
| City | Simi Valley |
| State | California (CA) |
| Post Code | 930656507 |
| Phone Number | 8055222164 |
| Fax Number | 8055229849 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | D 44936 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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What is the unique identifier code issued to Simi Childrens Dental Group by the Centers for Medicare & Medicaid Services (CMS)?
The Simi Childrens Dental Group has been assigned the NPI (National Provider Identifier) 1912020595. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical address where Simi Childrens Dental Group is geographically located?
The Simi Childrens Dental Group is physically situated at the following location: 1755 Erringer Rd, Simi Valley, CA, 930656507.
What is the Simi Childrens Dental Group's area of specialization and corresponding taxonomy classification?
The Simi Childrens Dental Group's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
On what date was the 1912020595 assigned to Simi Childrens Dental Group?
The Simi Childrens Dental Group was issued its 1912020595 on 2007-04-09, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information pertaining to Simi Childrens Dental Group most recently updated or revised?
The details related to Simi Childrens Dental Group, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
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