E. N. St. George, DDS, Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

21404 Issued in CA

Legal business name

E. N. ST. GEORGE, DDS, INC

Practice address

10249 Paramount Blvd
Downey, CA 90241-2362

Phone

(562) 927-2602

Fax

(562) 928-9232

NPI assigned

Mar 20, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Edward Nicholas St. George, DDSNPI 1295794709

Title

President

Phone

(562) 927-2602

Specialties & licenses 1

Addresses

Other identifiers 1

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.

• Edward Nicholas St. George, DDS

  • General Practice Dentistry
  • Downey, CA
  • NPI 1295794709
  Authorized official Same address or phone

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

{
    "created_epoch": "1174348800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1710002555",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10249 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10249 PARAMOUNT BLVD",
            "city": "DOWNEY",
            "state": "CA",
            "postal_code": "902412362",
            "telephone_number": "562-927-2602",
            "fax_number": "562-928-9232"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "E. N. ST. GEORGE, DDS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-20",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ST. GEORGE",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_middle_name": "NICHOLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "562-927-2602",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "21404",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TYPE 1",
            "identifier": "1295794709",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Luciana Duren
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• Cheri Y Eads, LMFT 50880
• Elliott Earley
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• Valerie Eberly
• Vance Charles Eberly, M.D.

• Dental Clinic/Center in Downey, CA
• Providers in Downey, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.