OrganizationActive
Black and to Dental Corporation
NPI 1124384417 · Dentist · Redondo Beach, CA
Provider details
- NPI number
- 1124384417
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Joan to, Dds-Owner(310) 376-5252
- License
- 53880 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(80/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
14 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
1509 Hawthorne Blvd
Suite 102
Redondo Beach, CA 90278-3957
Phone: (310) 376-5252
Fax: (310) 376-5757
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Beach City Dental Group
- Doing business as
- Beach City Dental Group
Registry dates
- Enumerated
- 2012-04-11
- Last updated
- 2022-05-11
- Certified
- 2022-05-11
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.