National Provider Identifier Database

DANIEL T ESTACIO DDS INC
Preferred Provider Organization

A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level.


Contact Information

DANIEL T. ESTACIO, DDS, INC.
1140 E CHEVY CHASE DR
GLENDALE, CA91205-2511
Phone: 818-247-3387
Fax: 818-247-2680
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for DANIEL T. ESTACIO, DDS, INC.

NPI Number 1649467291
Legal business name
LBN
DANIEL T. ESTACIO, DDS, INC.
Authorized official DANIEL ESTACIO - (DENTIST/PRESIDENT)
Entity Organization
Organization subpart No
Enumeration date 09/27/2007
Last updated 09/27/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 47886
  • CA Other: G-93853-01 MEDI-CAL PROVIDER NO

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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