OrganizationActive
St. Jude Hospital, Inc.
NPI 1063534501 · Dental Clinic/Center · Buena Park, CA
Provider details
- NPI number
- 1063534501
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Barry Ross, Vice President, Healthy Communities(714) 992-3164
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Detailed profile(89/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
7758 Knott Ave
Buena Park, CA 90620-2420
Phone: (714) 522-8723
Approximate (ZIP-level) locationGet directions
Mailing address
7758 Knott Ave
Buena Park, CA 90620-2420
Other names (DBA / former)
- Doing business as
- St. Jude Dental Clinic
Registry dates
- Enumerated
- 2007-04-04
- Last updated
- 2007-11-28
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.