Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
THE CHILDREN'S DENTAL HEALTH CLINIC
Active
Organization
THE CHILDREN'S DENTAL HEALTH CLINIC
Active
Parent organization
THE CHILDREN'S DENTAL FOUNDATION
Organization subpart
Yes
Provider details
NPI number
Legal business name
THE CHILDREN'S DENTAL FOUNDATION
Authorized official
DR. JOHN BLAKE D.D.S. (DENTAL DIRECTOR)
(562) 933-3141
Entity
Organization
Contact information
Practice address
10005 FLOWER ST, BELLFLOWER, CA 90706-5412
(562) 804-8100
Mailing address
10005 FLOWER ST, BELLFLOWER, CA 90706-5412
(562) 804-8100
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
D36731
CA
1223G0001X
General Practice Dentistry
Primary
D36731
CA
1223P0221X
Pediatric Dentistry
D36731
CA
126800000X
Dental Assistant
D36731
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
G9036004
DENTI-CAL
CA
Enumeration date
10/24/2007
Last updated
10/24/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up