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CANDICE RENEE PATRICK
NPI 1922672146
Dental Assistant in Los Angeles, CA

Active since May 13, 2021
12121 WILSHIRE BLVD STE 111, LOS ANGELES, CA 90025(310) 897-3401 Get Directions Write a Review

NPPES record last updated: May 13, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Candice Renee Patrick NPPES

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

CANDICE RENEE PATRICK (NPI 1922672146) is an individual dental assistant in Los Angeles, California, licensed in California (80290) and active in the NPI registry since May 2021.

NPPES Registry Identity

NPI1922672146
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameCANDICE RENEE PATRICK
Location Address12121 WILSHIRE BLVD STE 111Los Angeles, CA 90025-1123
Mailing Address12121 Wilshire Blvd Ste 111Los Angeles, CA 90025-1123 · (310) 897-3401
Phone(310) 897-3401
Sole ProprietorNo
Enumeration DateMay 13, 2021
NPPES CertifiedMay 13, 2021
✔ NPI 1922672146 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License✔ Licensed in CA · 80290
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 STE 111, Los Angeles, CA 90025
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Other Identifiers 1

Medicaid80290CA

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 Candice Patrick's NPI number?

The NPI number for Candice Patrick is 1922672146. It was assigned to this individual provider in the NPPES registry on May 13, 2021.

Where is Candice Patrick located?

Candice Patrick practices at 12121 Wilshire Blvd Ste 111, Los Angeles, CA 90025. The listed phone number is (310) 897-3401.

What is Candice Patrick'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 Candice Patrick was last updated on May 13, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.