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1043101728 NPI number — DENTAL OFFICE OF SAFA INC

NPI Number: 1043101728
Health Care Provider/Practitioner: DENTAL OFFICE OF SAFA INC

Information about “1043101728” NPI (DENTAL OFFICE OF SAFA INC) exists in 1043101728 in HTML format HTML  |  1043101728 in plain Text format TXT  |  1043101728 in PDF (Portable Document Format) PDF  |  1043101728 in an XML format XML  formats.

NPI Number : 1043101728 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1043101728",
    "EntityType": "Organization",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": null,
    "IsOrgSubpart": "N",
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": "DENTAL OFFICE OF SAFA INC",
    "LastName": null,
    "FirstName": null,
    "MiddleName": null,
    "NamePrefix": null,
    "NameSuffix": null,
    "Credential": null,
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "3828 SCHAUFELE AVE STE 380",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "LONG BEACH",
    "MailingAddressStateName": "CA",
    "MailingAddressPostalCode": "90808-1793",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "562-548-3630",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "3828 SCHAUFELE AVE STE 380",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "LONG BEACH",
    "PracticeLocationAddressStateName": "CA",
    "PracticeLocationAddressPostalCode": "90808-1793",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "562-548-3630",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "07/11/2025",
    "LastUpdateDate": "07/14/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": null,
    "Gender": null,
    "AuthorizedOfficialLastName": "GARCIA-LOWE",
    "AuthorizedOfficialFirstName": "HENRIETTA",
    "AuthorizedOfficialMiddleName": "TANYA",
    "AuthorizedOfficialTitle": "SENIOR MANAGER",
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": "562-548-3630",
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "1223E0200X",
        "TaxonomyName": "Endodontics",
        "LicenseNumber": null,
        "LicenseNumberStateCode": null,
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": {
      "HealthcareProviderTaxonomyGroup": {
        "HealthcareProviderTaxonomyGroupName": "193400000X SINGLE SPECIALTY  GROUP",
        "HealthcareProviderTaxonomyGroupDescription": "Single Specialty Group - A business group of one or more individual practitioners, all of who practice with the same area of specialization."
      }
    }
  }
}
                
            

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