ST. JUDE DENTAL CLINIC
NPI 1225397409
Clinic/Center - Dental in Buena Park, CA

Active since May 09, 2012
7758 KNOTT AVE, BUENA PARK, CA 90620(714) 522-8723(714) 522-4182 Get Directions Write a Review

NPPES record last updated: June 17, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About St. Jude Dental Clinic NPPES

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

ST. JUDE DENTAL CLINIC (NPI 1225397409) is a healthcare organization registered as a dental in Buena Park, California and active in the NPI registry since May 2012. The organization lists Timothy Jason Brown, Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1225397409
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameST. JUDE NEIGHBORHOOD HEALTH CENTERS
Location Address7758 KNOTT AVEBuena Park, CA 90620-2420
Mailing Address731 S Highland AveFullerton, CA 92832-2753 · (714) 522-8723 · Fax (714) 522-4182
Fax(714) 522-4182
Organization SubpartNo
Authorized OfficialTimothy Jason BrownChief Executive Officer · (208) 899-9631
Enumeration DateMay 9, 2012
Last NPPES UpdateJune 17, 2020
NPPES CertifiedJune 17, 2020
NPI 1225397409 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

Other Names 1

Other NameSt. Jude Dental Clinic

Other Providers at the Same Location NPPES

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

Clinic/Center (Dental)
7758 KNOTT AVE
BUENA PARK, CA 90620

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 Neighborhood Health Centers's NPI number?

The NPI number for St. Jude Neighborhood Health Centers is 1225397409. It was assigned to this organization in the NPPES registry on May 9, 2012. The provider is also known as St. Jude Dental Clinic.

Where is St. Jude Neighborhood Health Centers located?

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

What is St. Jude Neighborhood Health Centers'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 Neighborhood Health Centers was last updated on June 17, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.