WEST COAST DENTAL
NPI 1801186556
Dental Assistant in Clovis, CA

Active since April 14, 2011
1330 SHAW AVE STE 103, CLOVIS, CA 93612(559) 325-6161 Get Directions Write a Review

NPPES record last updated: April 14, 2011. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About West Coast Dental NPPES

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

WEST COAST DENTAL (NPI 1801186556) is a healthcare organization registered as a dental assistant in Clovis, California and active in the NPI registry since April 2011. The organization lists Michael Shaun Credille, Registered Dental Assistant, as its authorized official.

NPPES Registry Identity

NPI1801186556
Entity TypeOrganization
Primary Taxonomy126800000X
Legal Business NameWEST COAST DENTAL
Location Address1330 SHAW AVE STE 103Clovis, CA 93612-3985
Mailing Address1330 Shaw Ave Ste 103Clovis, CA 93612-3985 · (559) 325-6161
Organization SubpartNo
Authorized OfficialMichael Shaun CredilleRegistered Dental Assistant · (559) 325-6161
Enumeration DateApril 14, 2011
NPI 1801186556 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License Licensed in CA · 75261
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.

1330 SHAW AVE STE 103, Clovis, CA 93612

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 4

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

Dental Assistant
1330 SHAW AVE STE 103
CLOVIS, CA 93612
Dental Assistant
1330 SHAW AVE STE 103
CLOVIS, CA 93612
Dental Hygienist
1330 SHAW AVE STE 103
CLOVIS, CA 93612
Dental Assistant
1330 SHAW AVE STE 103
CLOVIS, CA 93612

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 West Coast Dental's NPI number?

The NPI number for West Coast Dental is 1801186556. It was assigned to this organization in the NPPES registry on April 14, 2011.

Where is West Coast Dental located?

West Coast Dental is located at 1330 Shaw Ave Ste 103, Clovis, CA 93612. The listed phone number is (559) 325-6161.

What is West Coast Dental's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for West Coast Dental was last updated on April 14, 2011. NPI Profile syncs with the weekly NPPES data releases published by CMS.