Interdental Solutions LLC

Primary specialty

Case Management AgencyTaxonomy code 251B00000X

Legal business name

INTERDENTAL SOLUTIONS LLC

Practice address

835 E Ave Apt E
Coronado, CA 92118-2163

Phone

(617) 447-5094

NPI assigned

Oct 27, 2017

Organization subpart

No

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

Authorized official

Name

Claudia Patricia Guevara

Title

Ceo

Phone

(617) 447-5094

Specialties & licenses 1

Addresses

Other names 1

• INTERDENTAL SOLUTIONS LLC Former legal business name

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

{
    "created_epoch": "1509062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1509062400000",
    "number": "1740792902",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "835 E AVE APT E",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182163"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "835 E AVE APT E",
            "city": "CORONADO",
            "state": "CA",
            "postal_code": "921182163",
            "telephone_number": "617-447-5094"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "INTERDENTAL SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-10-27",
        "last_updated": "2017-10-27",
        "status": "A",
        "authorized_official_last_name": "GUEVARA",
        "authorized_official_first_name": "CLAUDIA",
        "authorized_official_middle_name": "PATRICIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "617-447-5094"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "INTERDENTAL SOLUTIONS LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Case Management Agency in Coronado, CA
• Providers in Coronado, CA by specialty
• Case Management Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2017; 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.