# KATHLEEN A. COLLINS, DDS, A PROFESSIONAL CORPORATION

> 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. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1972808376
- **Authorized official:** DR. KATHLEEN ANN COLLINS DDS (OWNER)
- **Authorized official phone:** (714) 887-0444

## Contact information

- **Practice address:** 16052 BEACH BLVD, SUITE 120, HUNTINGTON BEACH, CA 92647-3801
- **Practice address phone:** (714) 887-0444
- **Practice address fax:** (714) 887-0452
- **Mailing address:** 16052 BEACH BLVD, SUITE 120, HUNTINGTON BEACH, CA 92647-3801
- **Mailing address phone:** (714) 887-0444
- **Mailing address fax:** (714) 887-0452

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223G0001X | General Practice Dentistry | 47248 | CA | — |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | NULL | Yes |
| 207RS0012X | Sleep Medicine (Internal Medicine) Physician | — | — | Yes |

## Other

- **Enumeration date:** 01/14/2011
- **Last updated:** 01/14/2011