National Provider Identifier Database

PACIFIC DENTAL CLINIC
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

PACIFIC DENTAL CLINIC
1201 N EUCLID ST
ANAHEIM, CA92801-1954
Phone: 714-817-8345
Fax: 714-224-7688
Website:
Specialty Taxonomy Code
* Preferred Provider Organization 305R00000X

* Indicates primary specialty

NPI Profile & details for PACIFIC DENTAL CLINIC

NPI Number 1750575403
Legal business name
LBN
PACIFIC DENTAL CLINIC
Authorized official JORGE GERONIMO - (DENTIST)
Entity Organization
Organization subpart No
Enumeration date 09/05/2007
Last updated 09/05/2007 - About 19 years ago
Sole proprietor1 Not specified
Identifiers
  • CA License #: 47897

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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