MEDICARE: WEBB AVE DENTISTRY

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1558293183
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WEBB AVE DENTISTRY

Provider Business Mailing Address
First Line	:	2420 WEBB AVE
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-2923
Country	:	US
Telephone Number	:	510-521-9800
Fax Number	:	510-521-1862

Provider Business Practice Location Address
First Line	:	2420 WEBB AVE
Second Line	:
City	:	ALAMEDA
State	:	CA
Zip	:	94501-2923
Country	:	US
Telephone Number	:	510-521-9800
Fax Number	:	510-521-1862

Authorized Official
Title or Position	:	OWNER
Name	:	KAREN N LARSON
Credential	:
Telephone Number	:	510-521-9800

Provider Enumeration Date	:	05/29/2026
Last Update Date	:	05/29/2026

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Directions to “WEBB AVE DENTISTRY ” Practice Location

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