VISALIA CHILDREN'S DENTAL SURGERY CENTER INC – NPI #1053643783
Clinic/Center

VISALIA CHILDREN'S DENTAL SURGERY CENTER INC is an AHC clinic located in VISALIA, CA. NPPES has assigned the NPI number 1053643783 to VISALIA CHILDREN'S DENTAL SURGERY CENTER INC on February 05, 2010. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 261QA1903X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Ambulatory Surgical

The NPI profile was last updated on Jan 27, 2025. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for VISALIA CHILDREN'S DENTAL SURGERY CENTER INC below.

NPI Profile for
VISALIA CHILDREN'S DENTAL SURGERY CENTER INC

NPI Number
1053643783
Enumeration Date

(more than 16 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
VISALIA CHILDREN'S DENTAL SURGERY CENTER INC
Primary location
136 ASPEN COURT
SUITE A
VISALIA, CA 93291
Phone: (559) 625-9300 Fax: (559) 625-9330
Mailing address
9709 LAKESIDE BLVD STE 350
SPRING, TX 77381-1213
Phone: (713) 489-2198 Fax: (713) 489-2978
Organization Subpart
No
Authorized Official
DEVIN LARSEN
CEO
Phone: (208) 340-1840
Updated
Certification Date
Jan 27, 2025

Note: NPPES allows providers to attest to the accuracy of their NPI data. When a provider request any change to the NPI record, they will be able to attest to their changed NPI data, resulting in an updated certification date.

Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
261QA1903X
- Clinic/Center / Ambulatory Surgical (Primary)		 CA 23135

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.