Community Oral Health Services
Organization Active NPI Dental Clinic/Center · Greenfield, CA
NPI 1003005307 · NPPES record last updated Oct 25, 2007
Key facts
- NPI
- 1003005307
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Dental Clinic/Center 261QD0000X
- Legal business name
- COMMUNITY ORAL HEALTH SERVICES
- Practice address
- 801 Walnut Ave
Greenfield, CA 93927-4938 - Phone
- (831) 674-1570
- Fax
- (831) 674-9058
- NPI assigned
- Oct 23, 2007
- Organization subpart
- Yes
- Parent organization (as reported)
- COMMUNITY ORAL HEALTH SERVICES
Authorized official
- Name
- Mrs. Debra Ann Diaz
- Title
- Executive Director
- Phone
- (831) 422-6889
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- Community Oral Health Services
Locations
801 Walnut Ave
Greenfield, CA 93927
Phone (831) 674-1570
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dental Clinic/Center | 261QD0000X | Yes |
Addresses
Primary practice location
801 Walnut Ave
Greenfield, CA 93927-4938
Mailing address
128 E Alisal St
Salinas, CA 93901-3519
Phone (831) 422-6889
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| G92048-01 | Other | CA | DENTI-CAL |
Other providers in Greenfield, CA
- Tiffany Bryant
- Mark Sidney Castillo
- Fabian Ceja-Robles
- Cinthia Sarita Chavez
- Clinica de Salud del Valle de Salinas
- Sylvia Contreras
- Samuel De Jesus Juarez
- Yadira G Dewitt
- David Allen Dummar
- Ismael Garcia
All providers in Greenfield, CA · Dental Clinic/Center in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 25, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.