| Organization Name: | WEST COAST DENTAL |
| NPI Number: | 1801186556 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MICHAEL SHAUN CREDILLE (REGISTERED DENTAL ASSISTANT) |
| Mailing Address: | 1330 Shaw Ave Ste 103 Clovis |
| State: | CA US |
| Postal Code: | 936123985 |
| Phone Number: | 5593256161 |
| Fax Number: | |
| NPI Enumeration Date: | 04/14/2011 |
| NPI Last Update Date: | 04/14/2011 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 126800000X |
| License Number: | 75261 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CA |
| Taxonomy Type: | Dental Providers |
| Taxonomy Classification: | Dental Assistant |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary. |