Janelle Pham Comfort, D.M.D.
Individual provider Active NPI Public Health Dentistry · Santa Ana, CA
NPI 1235685124 · NPPES record last updated Aug 19, 2020
Key facts
- NPI
- 1235685124
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Public Health Dentistry 1223D0001X
- License
- 103621 (CA)
- Practice address
- 1200 N Tustin Ave Ste 102
Santa Ana, CA 92705-3535 - Phone
- (714) 835-2215
- NPI assigned
- Aug 30, 2016
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 103621 | CA | MD | Public Health Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Copperas Cove Dentistry and Orthodontics PLLC | Past | Accepting new patients | |
| Copperas Cove Dentistry and Orthodontics PLLC | Dentist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Public Health Dentistry | 1223D0001X | 103621 | CA | Yes |
Addresses
Primary practice location
1200 N Tustin Ave Ste 102
Santa Ana, CA 92705-3535
Mailing address
1200 N Tustin Ave Ste 102
Santa Ana, CA 92705-3535
Phone (714) 835-2215
Other providers in Santa Ana, CA
- Marissa Colon
- Kimberly Nicole Colton
- Kevin T Columnas
- Colwell Clinical Laboratories Inc
- Lynette Kay Colyer Fultz
- Matthew Comfort
- Community Care Health Centers
- Community Dental Services
- Community Dental Services
- Community Dental Services
All providers in Santa Ana, CA · Public Health Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 19, 2020. 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.