COLUMBIA DENTAL SPECIALTY GROUP
NPI 1851790661
Dentist - Periodontics in Santa Monica, CA

Active since August 18, 2014
1807 WILSHIRE BLVD, STE A, SANTA MONICA, CA 90403(310) 264-1711(310) 453-6486 Get Directions Write a Review

NPPES record last updated: August 18, 2014. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Columbia Dental Specialty Group NPPES

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

COLUMBIA DENTAL SPECIALTY GROUP (NPI 1851790661) is a healthcare organization registered as a periodontics in Santa Monica, California and active in the NPI registry since August 2014. The organization lists Jennifer Chang, President/owner, as its authorized official.

NPPES Registry Identity

NPI1851790661
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCOLUMBIA DENTAL SPECIALTY GROUP
Location Address1807 WILSHIRE BLVD, STE ASanta Monica, CA 90403-5652
Mailing Address1807 Wilshire Blvd, Ste ASanta Monica, CA 90403-5652 · (310) 264-1711 · Fax (310) 453-6486
Fax(310) 453-6486
Organization SubpartNo
Authorized OfficialJennifer ChangPresident/owner · (310) 264-1711
Enumeration DateAugust 18, 2014
NPI 1851790661 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License Licensed in CA · 53057
Definition

That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Also ListedDentist · EndodonticsTaxonomy 1223E0200X · License 59653 (CA)
1807 WILSHIRE BLVD, Santa Monica, CA 90403

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 14

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

Clinic/Center (Community Health)
1807 WILSHIRE BLVD
SANTA MONICA, CA 90403
Acupuncturist
1807 WILSHIRE BLVD, 200
SANTA MONICA, CA 90403
Ophthalmology
1807 WILSHIRE BLVD, SUITE 203
SANTA MONICA, CA 90403
Acupuncturist
1807 WILSHIRE BLVD
SANTA MONICA, CA 90403
Optometrist
1807 WILSHIRE BLVD, SUITE 203
SANTA MONICA, CA 90403
Ophthalmology
1807 WILSHIRE BLVD, SUITE 203
SANTA MONICA, CA 90403
Ophthalmology
1807 WILSHIRE BLVD, STE. 203
SANTA MONICA, CA 90403
Specialist
1807 WILSHIRE BLVD, SUITE C
SANTA MONICA, CA 90403

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 Columbia Dental Specialty Group's NPI number?

The NPI number for Columbia Dental Specialty Group is 1851790661. It was assigned to this organization in the NPPES registry on August 18, 2014.

Where is Columbia Dental Specialty Group located?

Columbia Dental Specialty Group is located at 1807 Wilshire Blvd Ste A, Santa Monica, CA 90403. The listed phone number is (310) 264-1711.

What is Columbia Dental Specialty Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Columbia Dental Specialty Group was last updated on August 18, 2014. NPI Profile syncs with the weekly NPPES data releases published by CMS.