Specialty Dental Group

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

SPECIALTY DENTAL GROUP

Practice address

1777 N Bellflower Blvd Ste 102
Long Beach, CA 90815-4019

Phone

(909) 948-7211

Fax

(909) 948-7213

NPI assigned

Mar 18, 2013

Last updated

Mar 18, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jorge OsorioNPI 1609950823

Title

Partner

Phone

(909) 948-7213

Specialties & licenses 2

Addresses

Practitioners 1

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.

• Jorge Alberto Osorio, DDS

  • Dentist
  • Rancho Cucamonga, CA
  • NPI 1609950823
  Authorized official Same address or phone

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

{
    "created_epoch": "1363564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1363564800000",
    "number": "1386986362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154019"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1777 N BELLFLOWER BLVD STE 102",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908154019",
            "telephone_number": "909-948-7211",
            "fax_number": "909-948-7213"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPECIALTY DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-03-18",
        "last_updated": "2013-03-18",
        "status": "A",
        "authorized_official_last_name": "OSORIO",
        "authorized_official_first_name": "JORGE",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "909-948-7213"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": null,
            "primary": true
        },
        {
            "code": "1223E0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Endodontics",
            "state": "CA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Special Service for Groups
• Special Service for Groups
• Special Service for Groups, Inc.
• Special Service for Groups, Inc.
• Special Service for Groups, Inc.
• Speech Bananas Inc.
• Speech World & Associates
• Speechful Therapy Services
• Patricia Sevi Speelman, M.A, LMFT
• Daniel Speller, PA-C

• Dentist in Long Beach, CA
• Providers in Long Beach, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 18, 2013; 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.