Organization Active NPI

Telles Dental Corporation

  • Oral and Maxillofacial Surgery (Dentist)
  • Long Beach, CA
National Provider Identifier
1114892775
Registry record updated Oct 6, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X
Legal business name
TELLES DENTAL CORPORATION
Practice address
2700 N Bellflower Blvd Ste 301
Long Beach, CA 90815-1145
Phone
(562) 421-8896
Fax
(562) 429-4776
NPI assigned
Oct 6, 2025
Last updated
Oct 6, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Dr. David Rodney Telles, DDSNPI 1679623623
Title
Owner
Phone
(562) 421-8896

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Oral and Maxillofacial Surgery (Dentist) 1223S0112X NU Primary

Addresses

Primary practice location

2700 N Bellflower Blvd Ste 301
Long Beach, CA 90815-1145

Mailing address

2700 N Bellflower Blvd Ste 301
Long Beach, CA 90815-1145
Phone (562) 421-8896

National Provider Directory

National Provider Directory

Locations

2700 N Bellflower Blvd
Ste 301
Long Beach, CA 90815
Phone (562) 421-8896

Practitioners & affiliated clinicians

Practitioners 3

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759708800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759708800000",
    "number": "1114892775",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD STE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151145",
            "telephone_number": "562-421-8896",
            "fax_number": "562-429-4776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2700 N BELLFLOWER BLVD STE 301",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908151145",
            "telephone_number": "562-421-8896",
            "fax_number": "562-429-4776"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TELLES DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-06",
        "last_updated": "2025-10-06",
        "certification_date": "2025-10-06",
        "status": "A",
        "authorized_official_last_name": "TELLES",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "RODNEY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-421-8896",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Long Beach, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.