OrganizationActive
State Family Dental
NPI 1679964951 · General Practice Dentistry · South Gate, CA
Provider details
- NPI number
- 1679964951
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Noran Jeong, President(323) 567-2995
- License
- 57737 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(74/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
11 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
8928 State St
South Gate, CA 90280-2926
Phone: (323) 567-2995
Fax: (323) 567-2930
Street-level locationGet directions
Mailing address
516 N Mariposa Ave
Los Angeles, CA 90004-2806
Registry dates
- Enumerated
- 2015-02-09
- Last updated
- 2015-02-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.