KWON & JABBOUR DENTAL, INC.
NPI 1114370079
Clinic/Center - Dental in Walnut Creek, CA
- Organization
- Clinic/Center
- Dental
About KWON & JABBOUR DENTAL, INC.
This page provides the complete NPI Profile along with additional information for Kwon & Jabbour Dental, Inc., a provider established in Walnut Creek, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1114370079 assigned on July 2016. The practitioner's primary taxonomy code is 261QD0000X with license number 46074 (CA). The provider is registered as an organization and their NPI record was last updated 10 years ago. The authorized official of this NPI record is Dr. Hani Jabbour D.m.d. (President)
- NPI
- 1114370079 Verify this NPI
- Provider Name
- KWON & JABBOUR DENTAL, INC.
- Entity Type
- Organization
- Location Address
- 108 LA CASA VIA SUITE 102 WALNUT CREEK, CA 94598
- Location Phone
- (925) 930-8465
- Location Fax
- (925) 930-9955
- Mailing Address
- 108 LA CASA VIA SUITE 102 WALNUT CREEK, CA 94598
- Mailing Phone
- (925) 930-8465
- Mailing Fax
- (925) 930-9955
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 07-15-2016
- Last Update Date
- 07-15-2016
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Clinic/Center Dental
- Taxonomy Code
- 261QD0000X
- Type
- Ambulatory Health Care Facilities
- License No.
- 46074
- License State
- CA
Secondary Taxonomies
The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.
| No. | Taxonomy Code | Type | Classification / Specialization |
License No. (State) |
|---|---|---|---|---|
| 1 | 261QD0000X | Ambulatory Health Care Facilities | Clinic/Center | 46279 (CA) |
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Other Providers at the Same Location
The following 8 providers are registered at the same or a nearby location.
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
WALNUT CREEK, CA 94598
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1114370079, enumerated as an "organization" on July 15, 2016.
The provider is located at 108 LA CASA VIA SUITE 102 WALNUT CREEK, CA 94598 and the phone number is (925) 930-8465.
Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.
