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CHULA VISTA DENTAL CARE
NPI 1174741532
Dentist - General Practice in Chula Vista, CA

Active since April 23, 2007
1177 BROADWAY STE 19, CHULA VISTA, CA 91911(619) 409-1400 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Chula Vista Dental Care NPPES

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

CHULA VISTA DENTAL CARE (NPI 1174741532) is a healthcare organization registered as a general practice in Chula Vista, California and active in the NPI registry since April 2007. The organization lists Manijeh Maroon, President, as its authorized official.

NPPES Registry Identity

NPI1174741532
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCHULA VISTA DENTAL CARE
Location Address1177 BROADWAY STE 19Chula Vista, CA 91911-2771
Mailing Address1177 Broadway Ste 19Chula Vista, CA 91911-2771
Phone(619) 409-1400
Organization SubpartNo
Authorized OfficialManijeh MaroonPresident · (619) 409-1400
Enumeration DateApril 23, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1174741532 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 40946
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1177 BROADWAY STE 19, Chula Vista, CA 91911
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

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

DR. MANIJEH HOSSEINI D.D.S.
Dentist (General Practice)
1177 BROADWAY STE 19
CHULA VISTA, CA 91911
San Diego County (619) 409-1400

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 Chula Vista Dental Care's NPI number?

The NPI number for Chula Vista Dental Care is 1174741532. It was assigned to this organization in the NPPES registry on April 23, 2007.

Where is Chula Vista Dental Care located?

Chula Vista Dental Care is located at 1177 Broadway Ste 19, Chula Vista, CA 91911. The listed phone number is (619) 409-1400.

What is Chula Vista Dental Care's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Chula Vista Dental Care was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.