David Seccombe Dental Corporation

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

28236 Issued in CA

Legal business name

DAVID SECCOMBE DENTAL CORPORATION

Practice address

101 N Indian Hill Blvd Ste C1-205
Claremont, CA 91711-4613

Phone

(909) 626-5662

Fax

(909) 626-5892

NPI assigned

Jul 3, 2007

Organization subpart

No

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

Authorized official

Name

Dr. David Seccombe, DDSNPI 1780687343

Title

President

Phone

(909) 626-5662

Specialties & licenses 1

Addresses

Other names 1

• David Seccombe, DDS Former legal business name

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David G. Seccombe, DDS

  • General Practice Dentistry
  • Claremont, CA
  • NPI 1780687343
  NPD (past) Authorized official

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

{
    "created_epoch": "1183420800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1192147200000",
    "number": "1902004641",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 N INDIAN HILL BLVD STE C1-205",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114613",
            "telephone_number": "909-626-5662",
            "fax_number": "909-626-5892"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 N INDIAN HILL BLVD STE C1-205",
            "city": "CLAREMONT",
            "state": "CA",
            "postal_code": "917114613",
            "telephone_number": "909-626-5662",
            "fax_number": "909-626-5892"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID SECCOMBE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-03",
        "last_updated": "2007-10-12",
        "status": "A",
        "authorized_official_last_name": "SECCOMBE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "909-626-5662",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "28236",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "David Seccombe, DDS",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• Anita Daryanani, RDN
• Alyssa Davis, RD
• Heather Lynn Davis, MD
• Lawrence Neil De Vera, SLP - 18631
• Charles Dean III, MS, ATC
• Maria Belinda Abigail Del Rosario Jimenez, OT

• Dental Clinic/Center in Claremont, CA
• Providers in Claremont, 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 Oct 12, 2007; 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.