Organization · Type 2 NPI

Shvartsman Shimada Dental Partnership

General Practice Dentistry · Redondo Beach, CA

NPI number 1144993502 Active

Practice location

1711 Via El Prado Ste 400
Redondo Beach, CA 90277-5714

Specialties and licenses

Taxonomy	Code	License
General Practice Dentistry Primary	1223G0001X	None listed
Periodontics	1223P0300X	None listed
Prosthodontics	1223P0700X	None listed

General Practice Dentistry: 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.

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NPI record

NPI: 1144993502
Entity type: Organization (Type 2)
Issued: Jul 30, 2021
Last updated: Jul 30, 2021
Status: Active
Subpart: Yes of Shvartsman Shimada Dental Partnership

Other names

South Redondo Dental Group · doing business as

Authorized official

Dr. Kelly A Shimada, DDS
Partner
(310) 792-8610

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1144993502

Shvartsman Shimada Dental Partnership's National Provider Identifier is 1144993502, issued on Jul 30, 2021. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Redondo Beach, CA. The record was last updated on Jul 30, 2021.