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UCLA SCHOOL OF DENTISTRY ESTHETIC
NPI 1962545103
Dentist - General Practice in Los Angeles, CA

Active since February 15, 2007
10833 LE CONTE AVE RM 33-064A, LOS ANGELES, CA 90095(310) 825-4736(310) 267-2656 Get Directions Write a Review

NPPES record last updated: October 9, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Oct 9, 2025, Aug 22, 2020 (2 updates tracked since 2020).

About Ucla School Of Dentistry Esthetic NPPES

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

UCLA SCHOOL OF DENTISTRY ESTHETIC (NPI 1962545103), doing business as Esthetic Dentistry Department- Bill Yancey, is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since February 2007. The organization lists Reuben Kim, Division Chair, as its authorized official.

NPPES Registry Identity

NPI1962545103
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameUCLA SCHOOL OF DENTISTRY ESTHETIC
Location Address10833 LE CONTE AVE RM 33-064ALos Angeles, CA 90095-3075
Mailing Address10833 Le Conte Ave., Chs 33-064Los Angeles, CA 90095-1668 · (310) 825-4736 · Fax (310) 267-2656
Phone(310) 825-4736
Fax(310) 267-2656
Organization SubpartNo
Authorized OfficialReuben KimDivision Chair · (310) 825-7312
Enumeration DateFebruary 15, 2007
Last NPPES UpdateOctober 9, 20252 updates tracked since enumeration
NPPES CertifiedOctober 9, 2025
✔ NPI 1962545103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 21347
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
10833 LE CONTE AVE RM 33-064A, Los Angeles, CA 90095
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Other Names 1

Former Legal Business NameEsthetic Dentistry Department- Bill Yancey

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Ucla School Of Dentistry Esthetic's NPI number?

The NPI number for Ucla School Of Dentistry Esthetic is 1962545103. It was assigned to this organization in the NPPES registry on February 15, 2007. The provider was formerly known as Esthetic Dentistry Department- Bill Yancey.

Where is Ucla School Of Dentistry Esthetic located?

Ucla School Of Dentistry Esthetic is located at 10833 Le Conte Ave Rm 33-064a, Los Angeles, CA 90095. The listed phone number is (310) 825-4736.

What is Ucla School Of Dentistry Esthetic's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Ucla School Of Dentistry Esthetic was last updated on October 9, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months 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.