Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Omni on Premises

Organization General Practice Dentistry · NPI 1740040682

Omni on Premises is a General Practice Dentistry in Long Beach, California. Registered with an NPI since 2024.

In the registry since
2024
Specialties on file
4

Practice location Address checks out

4647 Long Beach Blvd Ste D5
Long Beach, CA 90805-6976
Phone: (562) 453-0525
Fax: (562) 980-0020
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X
Prosthodontics Taxonomy 1223P0700X
Oral and Maxillofacial Surgery (Dentist) Taxonomy 1223S0112X
Oral and Maxillofacial Radiology Dentistry Taxonomy 1223X0008X

Record details

NPI number1740040682
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Christopher Doane — Doctor · (805) 450-7329
NPI enumeratedMarch 19, 2024
Last updated in NPPESMarch 19, 2024
Certification dateMarch 19, 2024
Mailing address4647 Long Beach Blvd Ste D5, Long Beach, CA 90805-6976

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