Provider Demographics
NPI:1346528510
Name:UC REGENTS
Entity Type:Organization
Organization Name:UC REGENTS
Other - Org Name:UCSB STUDENT HEALTH SERVICE DENTAL CARE CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DENTAL CARE CLINIC MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:KAARIN
Authorized Official - Middle Name:
Authorized Official - Last Name:KNIGHTEN EL
Authorized Official - Suffix:
Authorized Official - Credentials:RDA
Authorized Official - Phone:805-893-4397
Mailing Address - Street 1:UCSB STUDENT HEALTH DENTAL CARE
Mailing Address - Street 2:588 BUILDING
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93106-7002
Mailing Address - Country:US
Mailing Address - Phone:805-893-2891
Mailing Address - Fax:805-893-6009
Practice Address - Street 1:UCSB STUDENT HEALTH DENTAL CARE
Practice Address - Street 2:588 BUILDING
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93106-7002
Practice Address - Country:US
Practice Address - Phone:805-893-2891
Practice Address - Fax:805-893-6009
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:UC REGENTS
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2011-07-22
Last Update Date:2011-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental