BOULEVARD DENTAL CENTER – NPI #1780728436
Clinic/Center

BOULEVARD DENTAL CENTER is an AHC clinic located in SAN DIEGO, CA. NPPES has assigned the NPI number 1780728436 to BOULEVARD DENTAL CENTER on February 16, 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 18 years ago on Aug 07, 2008. 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 BOULEVARD DENTAL CENTER below.

NPI Profile for
BOULEVARD DENTAL CENTER

NPI Number
1780728436
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
BOULEVARD DENTAL CENTER
Primary location
3531 EL CAJON BLVD #A
SAN DIEGO, CA 92104
Phone: (619) 584-8975 Fax: (619) 584-0682
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
CHAN NGUYEN
DDS OWNER
Phone: (619) 584-8975
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)

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.