Banty Dental Corporation
Sola Kids Dental · Clinic/Center (Dental)

Address: 5971 S Main Street, Los Angeles, CA 90003
Phone: 3233255641

Banty Dental Corporation (NPI# 1720567548) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider Identifier (NPI) 1720567548
Entity Type Organization
Organization Name BANTY DENTAL CORPORATION
Other Organization Name SOLA KIDS DENTAL
Practice Address 5971 S Main Street
Los Angeles
CA 90003
Practice Telephone 3233255641
Mailing Address 387 W Channel Rd
Santa Monica
CA 90402-1107
Mailing Telephone 8435574335
Authorized Official Name Dr. Laura Banty (PRESIDENT)
Authorized Official Telephone 8435574335
Authorized Official Credential DMD
Organization Subpart No, this organization is not a Subpart
Enumeration Date 2018-08-13
Last Update Date 2018-09-30

Taxonomy Codes

Primary Taxonomy Classification Taxonomy Group License Number State
Yes 261QD0000X Clinic/Center · Dental Ambulatory Health Care Facilities DDS100420 CA

Other Provider/Organization Names

Other Name Type Code
SoLA Kids Dental Doing Business As Name - Organization

Taxonomy Information

Taxonomy Code 261QD0000X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Dental

Taxonomy Definition

Definition to come...

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Office Location

Street Address 5971 S MAIN STREET
City LOS ANGELES
State CA
Zip Code 90003

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1598369530 A Place To Heal Clinic/Center 137 W 104th St, Los Angeles, CA 90003 2020-11-30
1528662582 St. John's Well Child and Family Center, Inc Clinic/Center 6818 Avalon Blvd., Los Angeles, CA 90003 2020-11-30
1043831878 Didi Hirsch Psychiatric Service Community/Behavioral Health 9179 S Main Street, Los Angeles, CA 90003 2020-05-04
1780227207 Herminia E Galvez Counselor 8005 S. Figueroa Street, Business, Los Angeles, CA 90003 2019-10-28
1356865810 Oscar Montes Jr. Social Worker 8220 San Pedro St., Los Angeles, CA 90003 2017-07-26
1619407483 Tonja Benetta Jordan Registered Nurse 5850 South Main St, Los Angeles, CA 90003 2017-06-14
1194254581 Janae Wilson Shepherd Registered Nurse 5850 S Main Street, Los Angeles, CA 90003 2017-06-08
1649709049 Eisha Eishawndra Purvis Registered Nurse 5850 S. Main Street, Los Angeles, CA 90003 2017-06-08
1689022477 Ladan Hariri Psychiatry & Neurology 1200 N.state St., Los Angeles, CA 90003 2016-06-02
1811330772 David Chavez Dental Assistant 358 East 76st, Los Angeles, CA 90003 2013-04-10
Find all providers in zip 90003

Competitor

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City LOS ANGELES
Zip Code 90003

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.