Provider Demographics
NPI:1598095051
Name:SCRIPPS CENTER FOR DENTAL CARE
Entity Type:Organization
Organization Name:SCRIPPS CENTER FOR DENTAL CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:NICHOLAS
Authorized Official - Middle Name:C
Authorized Official - Last Name:MARONGIU
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:858-535-8300
Mailing Address - Street 1:9850 GENESEE AVE
Mailing Address - Street 2:SUITE 620
Mailing Address - City:LA JOLLA
Mailing Address - State:CA
Mailing Address - Zip Code:92037-1224
Mailing Address - Country:US
Mailing Address - Phone:858-535-8300
Mailing Address - Fax:858-535-8309
Practice Address - Street 1:9850 GENESEE AVE
Practice Address - Street 2:SUITE 620
Practice Address - City:LA JOLLA
Practice Address - State:CA
Practice Address - Zip Code:92037-1224
Practice Address - Country:US
Practice Address - Phone:858-535-8300
Practice Address - Fax:858-535-8309
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-06
Last Update Date:2023-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Multi-Specialty