VILLALTA DENTAL CORPORATION
NPI 1982317657
Dentist - Pediatric Dentistry in Los Angeles, CA

Active since December 27, 2022
12555 W JEFFERSON BLVD STE 210, LOS ANGELES, CA 90066(707) 228-5974 Get Directions Write a Review

NPPES record last updated: December 27, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Villalta Dental Corporation NPPES

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

VILLALTA DENTAL CORPORATION (NPI 1982317657), doing business as The Baby Teeth Studio, is a healthcare organization registered as a pediatric dentistry in Los Angeles, California and active in the NPI registry since December 2022. The organization lists Jennifer Y Villalta, Pediatric Dentist, Owner, as its authorized official.

NPPES Registry Identity

NPI1982317657
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameVILLALTA DENTAL CORPORATION
Location Address12555 W JEFFERSON BLVD STE 210Los Angeles, CA 90066-7032
Mailing Address12555 W Jefferson Blvd Ste 210Los Angeles, CA 90066-7032 · (707) 228-5974
Organization SubpartNo
Authorized OfficialJennifer Y VillaltaPediatric Dentist, Owner · (707) 228-5974
Enumeration DateDecember 27, 2022
NPPES CertifiedDecember 27, 2022
NPI 1982317657 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
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

Other Names 1

Doing Business AsThe Baby Teeth Studio

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

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 Villalta Dental Corporation's NPI number?

The NPI number for Villalta Dental Corporation is 1982317657. It was assigned to this organization in the NPPES registry on December 27, 2022. The provider is doing business as The Baby Teeth Studio.

Where is Villalta Dental Corporation located?

Villalta Dental Corporation is located at 12555 W Jefferson Blvd Ste 210, Los Angeles, CA 90066. The listed phone number is (707) 228-5974.

What is Villalta Dental Corporation's specialty?

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

When was this NPI record last updated?

The NPPES record for Villalta Dental Corporation was last updated on December 27, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.