MR. JOSE DANIEL DE JESUS
NPI 1639400609
Dental Assistant in Los Angeles, CA

Active since January 14, 2010
12121 WILSHIRE BLVD, LOS ANGELES, CA 90025(310) 820-9933 Get Directions Write a Review

NPPES record last updated: January 14, 2010. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Mr. Jose Daniel De Jesus NPPES

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

MR. JOSE DANIEL DE JESUS (NPI 1639400609) is an individual dental assistant in Los Angeles, California, licensed in California (74403) and active in the NPI registry since January 2010.

NPPES Registry Identity

NPI1639400609
Entity TypeIndividualMale
Primary Taxonomy126800000X
Provider Legal NameMR. JOSE DANIEL DE JESUS
Location Address12121 WILSHIRE BLVDLos Angeles, CA 90025-1123
Mailing Address5816 Lemp AveNorth Hollywood, CA 91601-1023 · (818) 310-7779
Sole ProprietorYes
Enumeration DateJanuary 14, 2010
NPI 1639400609 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License Licensed in CA · 74403
Definition

An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.

12121 WILSHIRE BLVD, Los Angeles, CA 90025

Other Identifiers 1

Other74403CA · Dental Board

Other Providers at the Same Location NPPES 20

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

Dentist
12121 WILSHIRE BLVD
LOS ANGELES, CA 90025
Dentist (General Practice)
12121 WILSHIRE BLVD, SUITE 1111
LOS ANGELES, CA 90025
Dentist (General Practice)
12121 WILSHIRE BLVD, SUITE 1111
LOS ANGELES, CA 90025
Dentist (General Practice)
12121 WILSHIRE BLVD, SUITE 1111
LOS ANGELES, CA 90025
Dental Assistant
12121 WILSHIRE BLVD, SUITE 1111
LOS ANGELES, CA 90025
Dental Assistant
12121 WILSHIRE BLVD, SUITE 1111
LOS ANGELES, CA 90025
Dental Assistant
12121 WILSHIRE BLVD, #1111
LOS ANGELES, CA 90025
Dental Hygienist
12121 WILSHIRE BLVD, SUITE 1111
LOS ANGELES, CA 90025

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1639400609, enumerated as an "individual" on January 14, 2010.

The provider is located at 12121 WILSHIRE BLVD LOS ANGELES, CA 90025 and the phone number is (310) 820-9933.

Dental Assistant with taxonomy code 126800000X.

The provider might be accepting Accepts: Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.