Feldkamp Cal Select Dental Group, Inc.

LBN: Feldkamp Cal Select Dental Group, Inc.
Feldkamp Cal Select Dental Group, Inc. is an health care organization with primary practice located at 8325 Haven Ave Ste 120 , Rancho Cucamonga CA 91730-3894. The organization recently has only one registered license in Dental Providers / General Practice, which is considered as the primary health care specialty. Feldkamp Cal Select Dental Group, Inc. can be contacted via phone (909) 332-6980, or through Feldkamp Iii, Irving Moore via phone (909) 332-6980.

Contact Information

Primary practice address
8325 Haven Ave Ste 120 Rancho Cucamonga CA 91730-3894
Phone: (909) 332-6980
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Feldkamp Iii, Irving Moore Doctor of Dental Surgery (DDS)
Phone: (909) 332-6980

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / General Practice 1223G0001X

Profile Details

NPI number 1427675412
LBN Legal business name Feldkamp Cal Select Dental Group, Inc.
DBA Doing business as
Authorized official Feldkamp Iii, Irving Moore Doctor of Dental Surgery (DDS)
Entity Organization
Organization subpart 1 No
Enumeration date Jun 25th, 2020
Last updated Sep 8th, 2020 - about 6 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427675412 NPPES
California MEDICAID 1982016838

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