2k Fullerton Dental
Dentist in Fullerton, CA. Organization (NPI-2).
NPI number1639573199
StatusActive
Last updated in NPPESOct 13, 2014
Details
- NPI
- 1639573199
- Entity type
- Organization (NPI-2)
- Legal business name
- 2k Fullerton Dental
- Organization subpart
- No
- Enumeration date
- Oct 13, 2014
- Last updated
- Oct 13, 2014
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 |
|---|---|---|---|---|
| 122300000X | Dentist | 59613 | CA | Yes |
Other names
- Fullerton Craft Smiles Dental (Doing Business As)
Practice location
1010 E Chapman AveFullerton, CA 92831-3812
Phone 714-526-2828 · Fax 714-526-2834
Mailing address
1010 E Chapman AveFullerton, CA 92831-3812
Phone 714-526-2828 · Fax 714-526-2834
Authorized official
Kush Patel
Owner
7145262828
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