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CEBALLOS PROFESSIONAL DENTAL CORPORATION
NPI 1194503243
Clinic/Center - Dental in Anaheim, CA

Active since September 19, 2023
965 S BEACH BLVD, ANAHEIM, CA 92804(714) 527-2982 Get Directions Write a Review

NPPES record last updated: September 19, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About CEBALLOS PROFESSIONAL DENTAL CORPORATION

This page provides the complete NPI Profile along with additional information for Ceballos Professional Dental Corporation, a provider established in Anaheim, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1194503243 assigned on September 2023. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 3 years ago. The authorized official of this NPI record is Mrs. Carla Vanessa Ceballos Dds (Dentist /0wner)

NPI
1194503243 Verify this NPI
Provider Name
CEBALLOS PROFESSIONAL DENTAL CORPORATION
Entity Type
Organization
Location Address
965 S BEACH BLVD ANAHEIM, CA 92804
Location Phone
(714) 527-2982
Mailing Address
965 S BEACH BLVD ANAHEIM, CA 92804
Mailing Phone
(714) 527-2982
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
09-19-2023
Last Update Date
09-19-2023
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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

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. CARLA VANESSA CEBALLOS DDS

Authorized Official Title
DENTIST /0WNER
Authorized Official Phone
(914) 268-1016

Reviews for CEBALLOS PROFESSIONAL DENTAL CORPORATION

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Other Providers at the Same Location


The following 3 providers are registered at the same or a nearby location.

DR. LEELA CHMIELEWSKI DDS
Dentist (General Practice)
965 S BEACH BLVD
ANAHEIM, CA 92804
Orange County (714) 527-2982
JOHN PHAM DMD INC
Dentist (General Practice)
965 S BEACH BLVD
ANAHEIM, CA 92804
Orange County (714) 527-2982
JORGE FERNANDO GARZON CEBALLOS DDS
Dentist
965 S BEACH BLVD
ANAHEIM, CA 92804
Orange County (714) 527-2982

Frequently Asked Questions

What is CEBALLOS PROFESSIONAL DENTAL CORPORATION's NPI number?

The NPI number assigned to this healthcare provider is 1194503243, enumerated as an "organization" on September 19, 2023.

Where is the provider located?

The provider is located at 965 S BEACH BLVD ANAHEIM, CA 92804 and the phone number is (714) 527-2982.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.