Provider Demographics
NPI:1922714641
Name:OKAMOTO AND BIGLEY DENTISTRY A GENERAL PARTNERSHIP
Entity Type:Organization
Organization Name:OKAMOTO AND BIGLEY DENTISTRY A GENERAL PARTNERSHIP
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:GENERAL PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:CHRISTOPHER
Authorized Official - Middle Name:
Authorized Official - Last Name:BIGLEY
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:626-440-9095
Mailing Address - Street 1:50 BELLEFONTAINE STREET
Mailing Address - Street 2:SUITE 204
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91105-3132
Mailing Address - Country:US
Mailing Address - Phone:626-440-9095
Mailing Address - Fax:626-440-9231
Practice Address - Street 1:50 BELLEFONTAINE STREET
Practice Address - Street 2:SUITE 204
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91105-3132
Practice Address - Country:US
Practice Address - Phone:626-440-9095
Practice Address - Fax:626-440-9231
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-26
Last Update Date:2023-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental