Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MR. JACK KAVANAUGH, MD,DDS.

Active Sole Proprietor

MR. JACK KAVANAUGH, MD,DDS. is a General Dentistry healthcare provider located in TORRANCE, California. NPI 1487797254 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · TORRANCE, CA

Registration Details

NPI Number: 1487797254
Provider Type: Individual
Gender: Male
NPI Issued: Feb 14, 2007 (19.500314344628 yrs)
Last Updated: Jul 8, 2007
License: 23330 (CA)
Sole Proprietor: Yes

Practice Information

Address: 19019 HAWTHORNE BLVD

SUITE # 100 B

TORRANCE, CA, 905031524
Browse CA providers · Browse ZIP 90503
Phone: 3103710113
Fax: 3103711927
Primary Specialty: General Dentistry
1223G0001X

Other General Dentistry Providers in TORRANCE, CA

Name	Credential	NPI
DR. CAROLYN J DOHERTY	D.D.S.	1699777920
DR. BRUCE ALLAN JONES	D.D.S.	1609879048
DR. EUGENE Y YANG	D.D.S., INC.	1629078795
DR. STEVEN PETER ROME	D.D.S.	1285606624
DR. MARK STEVEN KAHN	DDS	1346216066
HASSAN BOGSARA	DDS	1447219423

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.