Steven Wu Dental Corporation

Primary specialty

DentistTaxonomy code 122300000X

Legal business name

STEVEN WU DENTAL CORPORATION

Doing business as

Long Beach Kids Dentistry Dental Group

Practice address

7603 Carson Blvd
Long Beach, CA 90808-2367

Phone

(562) 294-5669

NPI assigned

Sep 26, 2019

Last updated

Sep 30, 2019By 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

Steven Wu, DMD

Title

Owner

Phone

(562) 294-5669

Specialties & licenses 1

Addresses

Other names 1

• Long Beach Kids Dentistry Dental Group Doing business as

Locations

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

{
    "created_epoch": "1569456000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1569801600000",
    "number": "1487205878",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17000 RED HILL AVE",
            "city": "IRVINE",
            "state": "CA",
            "postal_code": "926145626"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7603 CARSON BLVD",
            "city": "LONG BEACH",
            "state": "CA",
            "postal_code": "908082367",
            "telephone_number": "562-294-5669"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STEVEN WU DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-09-26",
        "last_updated": "2019-09-30",
        "status": "A",
        "authorized_official_last_name": "WU",
        "authorized_official_first_name": "STEVEN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "562-294-5669",
        "authorized_official_credential": "DMD"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Long Beach Kids Dentistry Dental Group",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Raven Nicole Stern
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• Steven J Sutherland DDS Inc
• Steven Kim Dental Corporation
• Steven L. Eng, M.D., Inc.
• Deva Stevens, NP
• Heather Stevens, R.D.
• Jacqueline Stevens, LCSW
• Lisa Jean Stevens, M.A.
• Makeely Stevens

• 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 Sep 30, 2019; 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.