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DR. FIDELIS SANTILLAN KING D.D.S. NPI 1265594428


NPI Information

NPI: 1265594428
Provider Name: DR. FIDELIS SANTILLAN KING, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
646 N LARCHMONT BLVD
LOS ANGELES, CA
ZIP 90004
Phone: (323) 464-8677
Get Directions

DR. Fidelis Santillan King, D.D.S. is a general practice dentist in Los Angeles, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. DR. Fidelis Santillan King, D.D.S. NPI is 1265594428. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

646 N LARCHMONT BLVD
LOS ANGELES, CA
ZIP 90004-308
Phone: (323) 464-8677
Fax: (323) 463-4692

The enumeration date for this NPI number is 12/14/2006 and was last updated on 7/8/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice36423CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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