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Active NPI 1962915603 Organization (Entity Type 2)

Elixir Solutions, Llc

Dentist • Lancaster, CA

About Elixir Solutions, Llc NPI 1962915603 Summary

Elixir Solutions, Llc is a verified healthcare organization specializing in Dentist operating in Lancaster, CA. Located at 1306 W AVENUE J STE A, this facility provides patient care and medical services under National Provider Identifier (NPI) 1962915603.

Administrative operations and authorized compliance are overseen by Reza Shirazi (Dental Director).

In addition to its main center, the organization maintains 1 secondary practice location in the region.

Facility Location & Contact Primary Location

Facility Address

1306 W Avenue J Ste A

Lancaster, CA 935342936

Telephone 6619450828

Authorized Official Information

Authorized Contact Name

DR. Reza Shirazi

Title / Role

Dental Director

Official Telephone

3105337601

Facility Classifications & Specialties

Dentist Primary Taxonomy

NUCC Taxonomy Code: 122300000X

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

Secondary Facility Locations

Verified branch offices, satellite clinics, and regional practice locations

1 Branches

12052 Hesperia Rd Ste 4

Hesperia, CA 923451808

Phone: 7602440599

Facility & Registry History Timeline

Chronological log of verified NPI organization updates, branch relocations, and registry updates

6 Historical Events
NPI Profile Active November 15, 2017

NPI status registered as active in NPPES database

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Updated Practice Location November 15, 2017

Registered at 1306 W AVENUE J STE A, LANCASTER, CA 935342936 (Tel: 6619450828)

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Updated Business Mailing Address November 15, 2017

Registered at 1306 W AVENUE J STE A, LANCASTER, CA 935342936 (Tel: 6619450828)

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Organization / Clinic Name Updated November 15, 2017

Operating as ELIXIR SOLUTIONS, LLC

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Medical Taxonomy / Specialty Registered (Primary Specialty) November 15, 2017

Dentist (License #54475 in CA)

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Initial NPI Registration & Enumeration November 15, 2017

First registered as active Healthcare Organization in NPPES Database.

Patient & Community Reviews

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NPI Organization Metadata

NPI Number: 1962915603
Entity Type:
Organization Organization (Hospital, Clinic, Group Practice) (Type 2 NPI)
Enumeration Date: November 15, 2017
Last Update: March 17, 2018

Mailing Address

1306 W Avenue J Ste A

Lancaster, CA 935342936

Phone: 6619450828

Public Domain Record This organization profile is sourced from public domain datasets published by CMS and NPPES under FOIA.
⚠️ Medical Disclaimer

Facility details are provided for public information only. In case of a medical emergency, call 911 immediately.