ST. JUDE DENTAL CLINIC
NPI 1063534501
Clinic/Center - Dental in Buena Park, CA

Q: What is St. Jude Hospital, Inc.'s NPI number?

The NPI number for St. Jude Hospital, Inc. is 1063534501. It was assigned to this organization in the NPPES registry on April 4, 2007. The provider is doing business as St. Jude Dental Clinic.

Q: What is St. Jude Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

Active since April 04, 2007

7758 KNOTT AVE, BUENA PARK, CA 90620(714) 522-8723 Get Directions Write a Review

NPPES record last updated: November 28, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About St. Jude Dental Clinic NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ST. JUDE DENTAL CLINIC (NPI 1063534501) is a healthcare organization registered as a dental in Buena Park, California and active in the NPI registry since April 2007. The organization lists Barry Ross, Vice President, Healthy Communities, as its authorized official.

NPPES Registry Identity

NPI1063534501

Entity TypeOrganization

Primary Taxonomy261QD0000X

Legal Business NameST. JUDE HOSPITAL, INC.

Location Address7758 KNOTT AVEBuena Park, CA 90620-2420

Mailing Address7758 Knott AveBuena Park, CA 90620-2420 · (714) 522-8723

Phone(714) 522-8723

Organization SubpartNo

Authorized OfficialBarry RossVice President, Healthy Communities · (714) 992-3164

Enumeration DateApril 4, 2007

Last NPPES UpdateNovember 28, 2007

✔ NPI 1063534501 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities

Taxonomy Code261QD0000X

7758 KNOTT AVE, Buena Park, CA 90620

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Other Names 1

Doing Business AsSt. Jude Dental Clinic

Other Identifiers 1

Medicaid70894FAR

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

ST. JUDE NEIGHBORHOOD HEALTH CENTERS

Clinic/Center (Dental)

7758 KNOTT AVE
BUENA PARK, CA 90620

Orange County (714) 522-8723

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is St. Jude Hospital, Inc.'s NPI number?

The NPI number for St. Jude Hospital, Inc. is 1063534501. It was assigned to this organization in the NPPES registry on April 4, 2007. The provider is doing business as St. Jude Dental Clinic.

Where is St. Jude Hospital, Inc. located?

St. Jude Hospital, Inc. is located at 7758 Knott Ave, Buena Park, CA 90620. The listed phone number is (714) 522-8723.

What is St. Jude Hospital, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for St. Jude Hospital, Inc. was last updated on November 28, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.