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SOUTH BAY CHULA VISTA FAMILY DENTAL
NPI 1427166057
Dentist - General Practice in Chula Vista, CA

Active since August 25, 2006
290 LANDIS AVE, SUITE A & B, CHULA VISTA, CA 91910(619) 691-0121(619) 691-0841 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: September 06, 2026.

About South Bay Chula Vista Family Dental NPPES

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

SOUTH BAY CHULA VISTA FAMILY DENTAL (NPI 1427166057) is a healthcare organization registered as a general practice in Chula Vista, California and active in the NPI registry since August 2006. The organization lists Nicole Reid, Regional Manager, as its authorized official.

NPPES Registry Identity

NPI1427166057
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameBALDEN GALLO MICHELS PROF DENTAL CORP
Location Address290 LANDIS AVE, SUITE A & BChula Vista, CA 91910-2636
Mailing Address290 Landis Ave, Suite A & BChula Vista, CA 91910-2636 · (619) 691-0121 · Fax (619) 691-0841
Phone(619) 691-0121
Fax(619) 691-0841
Organization SubpartNo
Authorized OfficialNicole ReidRegional Manager · (619) 261-1670
Enumeration DateAugust 25, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1427166057 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 · 31040
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.
290 LANDIS AVE, Chula Vista, CA 91910
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Other Names 1

Doing Business AsSouth Bay Chula Vista Family Dental

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

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

A. DOMINGUEZ DDS PROFESSIONAL DENTAL CORPORATION
Dentist (General Practice)
290 LANDIS AVE, STE A&B
CHULA VISTA, CA 91910
San Diego County (619) 691-0121
ANA BEATRIZ DOMINGUEZ DDS
Dentist (General Practice)
290 LANDIS AVE, SUITE A & B
CHULA VISTA, CA 91910
San Diego County (619) 691-0121

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 Balden Gallo Michels Prof Dental Corp's NPI number?

The NPI number for Balden Gallo Michels Prof Dental Corp is 1427166057. It was assigned to this organization in the NPPES registry on August 25, 2006. The provider is doing business as South Bay Chula Vista Family Dental.

Where is Balden Gallo Michels Prof Dental Corp located?

Balden Gallo Michels Prof Dental Corp is located at 290 Landis Ave Suite A & B, Chula Vista, CA 91910. The listed phone number is (619) 691-0121.

What is Balden Gallo Michels Prof Dental Corp'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 Balden Gallo Michels Prof Dental Corp 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 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.