MR. JACK KAVANAUGH MD,DDS.
NPI 1487797254
Dentist - General Practice in Torrance, CA

Q: What is Jack Kavanaugh's NPI number?

The NPI number for Jack Kavanaugh is 1487797254. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Q: What is Jack Kavanaugh's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Jack Kavanaugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.

Active since February 14, 2007

19019 HAWTHORNE BLVD, SUITE # 100 B, TORRANCE, CA 90503(310) 371-0113(310) 371-1927 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Mr. Jack Kavanaugh Md,dds. NPPES

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

MR. JACK KAVANAUGH MD,DDS. (NPI 1487797254) is an individual general practice provider in Torrance, California, licensed in California (23330) and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1487797254

Entity TypeIndividualMale

Primary Taxonomy1223G0001X

Provider Legal NameMR. JACK KAVANAUGHCredential: MD,DDS.

Location Address19019 HAWTHORNE BLVD, SUITE # 100 BTorrance, CA 90503-1524

Mailing Address19019 Hawthorne Blvd, Suite # 100 BTorrance, CA 90503-1524 · (310) 371-0113 · Fax (310) 371-1927

Phone(310) 371-0113

Fax(310) 371-1927

Sole ProprietorYes

Enumeration DateFebruary 14, 2007

Last NPPES UpdateJuly 8, 2007

✔ NPI 1487797254 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 · 23330

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.

19019 HAWTHORNE BLVD, Torrance, CA 90503

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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.

IWONA DRABIK

Dentist (General Practice)

19019 HAWTHORNE BLVD
TORRANCE, CA 90503

Los Angeles County (310) 371-0113

DANNY I LEE, DMD A PROFESSIONAL CORP

Health Maintenance Organization

19019 HAWTHORNE BLVD, STE 100B
TORRANCE, CA 90503

Los Angeles County (310) 371-0113

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 Jack Kavanaugh's NPI number?

The NPI number for Jack Kavanaugh is 1487797254. It was assigned to this individual provider in the NPPES registry on February 14, 2007.

Where is Jack Kavanaugh located?

Jack Kavanaugh practices at 19019 Hawthorne Blvd Suite # 100 B, Torrance, CA 90503. The listed phone number is (310) 371-0113.

What is Jack Kavanaugh'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 Jack Kavanaugh was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.