Grand Orthodontics is a Orthodontics and Dentofacial Clinic in El Segundo, California. It is located at 310 E Grand Ave Ste 106, El Segundo, CA and its contact number is 310-648-8781. The authorized person for Grand Orthodontics is Kendall Sherron Woolridge
who is Owner/dentist of the clinic and their contact number is 310-648-8781. The primary license number for Grand Orthodontics is 57096 (Orthodontics and Dentofacial Orthopedics) in California. Grand Orthodontics Clinic is concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex.
Complete Clinic Profile:
Grand Orthodontics Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Grand Orthodontics
Specialization:
Orthodontics and Dentofacial Orthopedics
Clinic Address:
310 E Grand Ave Ste 106, El Segundo, California, 90245-3871
Phone:
310-648-8781
Fax:
310-648-8776
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Kendall Sherron Woolridge
Position:
Owner/dentist
Contact Number:
310-648-8781
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Grand Orthodontics clinic are as mentioned below.
NPI Number:
1609149533
NPI Enumeration Date:
23 Feb, 2012
NPI Last Update On:
05 Oct, 2021
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Grand Orthodontics are as mentioned below.
Specialization
License Number
State
Status
Orthodontics and Dentofacial Orthopedics
57096
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
1104006196
Other
California
Individual Npi
1609159533
Other
California
Type 2 Npi
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Grand Orthodontics 310 E Grand Ave Ste 106, El Segundo, California
Zip:
90245-3871
Phone Number:
310-648-8781
Fax Number:
310-648-8776
Patients can reach Grand Orthodontics at 310 E Grand Ave Ste 106, El Segundo, California or can call to book an appointment on 310-648-8781. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.