SOUTHWEST DENTAL – NPI #1134201361
Clinic/Center

SOUTHWEST DENTAL is an AHC clinic located in CATHEDRAL CITY, CA. NPPES has assigned the NPI number 1134201361 to SOUTHWEST DENTAL on October 19, 2006. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “SOUTHWEST DENTAL” is a dba name, the actual legal business name for this organization is DR KENNETH R GALLION A PROFESSIONAL DENTAL CORP. The primary taxonomy selected by this provider is 261QD0000X from the Health Care Provider Taxonomy code set, which is classified as Clinic/Center, specializing in Dental

The NPI profile was previously updated about 6 years ago on Aug 22, 2020. 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 SOUTHWEST DENTAL below.

NPI Profile for
DR KENNETH R GALLION A PROFESSIONAL DENTAL CORP

NPI Number
1134201361
Enumeration Date

(more than 19 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
DR KENNETH R GALLION A PROFESSIONAL DENTAL CORP
Doing Business As (dba): SOUTHWEST DENTAL
Primary location
68820 RAMON RD
CATHEDRAL CITY, CA 92234
Phone: (760) 770-0236 Fax: (760) 770-9758
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
KENNETH GALLION
DENTIST OWNER PRESIDENT
Phone: (760) 770-0236
Updated
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
261QD0000X
- Clinic/Center / Dental (Primary)		 CA 39405

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.