Active NPIOrganization

6TH Street Family Dental Group

Dentist in Los Angeles, California

NPI Number1194879627
Practice location
2065 W 6TH Street, Suite 109, Los Angeles, CA 90057
Fax
213-484-1474
Last updated
June 13, 2008

6TH Street Family Dental Group is a healthcare organization based in Los Angeles, CA. 6TH Street Family Dental Group practices in Los Angeles, CA. The NPI Number for 6TH Street Family Dental Group is 1194879627 and holds a License No. 41084 (CA). The current practice location address for 6TH Street Family Dental Group is 2065 W 6TH Street, Suite 109, Los Angeles, CA 90057 and can be reached out via phone at 213-484-2100 and via fax at 213-484-1474.

Provider Profile Details

NPI Number
1194879627
Provider Name
6TH Street Family Dental Group
Provider Entity Type
Organization
Address
2065 W 6TH Street, Suite 109, Los Angeles, CA 90057
Phone Number
213-484-2100
Fax Number
213-484-1474
Primary Taxonomy
Dentist · 122300000X
Organization Subpart
No
Authorized Official
Susan Hazany, DDS · Partner · 213-484-2100
Provider Enumeration Date
January 22, 2007
Last Update Date
June 13, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
2065 W 6TH Street
Suite 109
Los Angeles, CA 90057
Zip
90057
Phone Number
213-484-2100
Fax Number
213-484-1474
Los Angeles, CA 90057Get directions →

Provider Business Mailing Address Details

Address
2065 W 6TH Street
Suite 109
Los Angeles, CA 90057
City
Los Angeles
State
CA
Zip
90057
Phone Number
213-484-2100
Fax Number
213-484-1474

License Information

License Number (1)
41084
License State (1)
CA
Taxonomy (1)
Dentist · 122300000X
License Number (2)
39963
License State (2)
CA
Taxonomy (2)
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

Other Dentists near Los Angeles, CA

View all Dentists in Los Angeles →

Frequently Asked Questions

What is the NPI number of 6TH Street Family Dental Group?

The NPI number of 6TH Street Family Dental Group is 1194879627. It was assigned on January 22, 2007 and is currently active in the NPPES registry.

What is the specialty of 6TH Street Family Dental Group?

6TH Street Family Dental Group is registered under the primary taxonomy Dentist (code 122300000X), licensed in CA under license number 41084.

Where does 6TH Street Family Dental Group practice?

The practice location is 2065 W 6TH Street, Suite 109, Los Angeles, CA 90057. The office can be reached at 213-484-2100 (phone) or 213-484-1474 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1194879627 directly on the NPPES registry website.

Browse related providers