DR. JENNIFER VILLALTA DDS, MPH
NPI 1952841389
Dentist - Pediatric Dentistry in Los Angeles, CA

Active since March 04, 2017
12555 W JEFFERSON BLVD STE 210, LOS ANGELES, CA 90066(310) 439-1751(310) 439-1752 Get Directions Write a Review

NPPES record last updated: February 21, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Jennifer Villalta Dds, Mph NPPES

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

DR. JENNIFER VILLALTA DDS, MPH (NPI 1952841389) is an individual pediatric dentistry provider in Los Angeles, California, licensed in California (104258) and active in the NPI registry since March 2017.

NPPES Registry Identity

NPI1952841389
Entity TypeIndividualFemale
Primary Taxonomy1223P0221X
Provider Legal NameDR. JENNIFER VILLALTACredential: DDS, MPH
Location Address12555 W JEFFERSON BLVD STE 210Los Angeles, CA 90066-7032
Mailing Address12555 W Jefferson Blvd Ste 210Los Angeles, CA 90066-7032 · (310) 439-1751 · Fax (310) 439-1752
Fax(310) 439-1752
Sole ProprietorYes
Enumeration DateMarch 4, 2017
Last NPPES UpdateFebruary 21, 2024
NPPES CertifiedFebruary 21, 2024
NPI 1952841389 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 104258
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
12555 W JEFFERSON BLVD STE 210, Los Angeles, CA 90066

Accepted Insurance

Other Providers at the Same Location NPPES

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

Dentist (Pediatric Dentistry)
12555 W JEFFERSON BLVD STE 210
LOS ANGELES, CA 90066

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 Jennifer Villalta's NPI number?

The NPI number for Jennifer Villalta is 1952841389. It was assigned to this individual provider in the NPPES registry on March 4, 2017.

Where is Jennifer Villalta located?

Jennifer Villalta practices at 12555 W Jefferson Blvd Ste 210, Los Angeles, CA 90066. The listed phone number is (310) 439-1751.

What is Jennifer Villalta's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

What insurance does Jennifer Villalta accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Jennifer Villalta as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jennifer Villalta was last updated on February 21, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.