DENTALVILLE – NPI #1700083078
Clinic/Center

DENTALVILLE is an AHC clinic located in BELL, CA. NPPES has assigned the NPI number 1700083078 to DENTALVILLE on June 29, 2007. It is a Type-2 NPI, indicating this NPI number is associated with an organization. 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 DENTALVILLE below.

NPI Profile for
DENTALVILLE

NPI Number
1700083078
Enumeration Date

(about 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
DENTALVILLE
Primary location
5021 FLORENCE AVENUE
BELL, CA 90201
Phone: (323) 560-1508 Fax: (323) 560-2085
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
EVELYN MCKAY
OFFICE MANAGER
Phone: (323) 560-1508
Updated
Identifiers

Identifiers for DENTALVILLE

Identifiers are used to associate other provider identifiers such as Medicaid or other insurers (ie:, Blue Cross, Blue Shield, Aetna, Kaiser-Permanente, etc.), with their NPI number. These identifiers can be used in matching an NPI number to an insurer's records. However, not all providers have such numbers and not all providers choose to include them in their NPI information.

DescriptionIssuerStateIdentifier
OTHERDENTICALCAB26405-04
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 B26405-04

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.