Abousheta Dental Corporation
Dentist, Orthodontics and Dentofacial Orthopedics in Irvine, CA. Organization (NPI-2).
Details
- NPI
- 1376109249
- Entity type
- Organization (NPI-2)
- Legal business name
- Abousheta Dental Corporation
- Organization subpart
- No
- Enumeration date
- May 15, 2019
- Last updated
- Jun 11, 2019
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223X0400X | Dentist, Orthodontics and Dentofacial Orthopedics | – | – | Yes |
| 1223P0221X | Dentist, Pediatric Dentistry | – | – |
Other names
- Irvine Orthodontics (Doing Business As)
Practice location
4482 Barranca Pkwy Ste 102Irvine, CA 92604-4744
Phone 949-786-7800
Mailing address
4482 Barranca Pkwy Ste 102Irvine, CA 92604-4744
Phone 949-786-7800
Authorized official
Tarek Abousheta
President
3148535642
Is something wrong?
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