Dr. Brian S Orcutt, DDS
Dentist, General Practice in Fair Oaks, CA. Individual provider (NPI-1).
NPI number1720205834
StatusActive
Last updated in NPPESOct 8, 2024
Details
- NPI
- 1720205834
- Entity type
- Individual (NPI-1)
- Name
- Dr. Brian S Orcutt
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Apr 19, 2007
- Certification date
- Oct 8, 2024
- Last updated
- Oct 8, 2024
Medicare and OIG
- Medicare enrolled (PECOS)
- Yes · ORDER AND REFERRING ONLY - DENTIST
- Can order and refer
- Part B Yes · DME Yes · Home health Yes · Power mobility No · Hospice Yes
- 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 |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 52905 | CA | Yes |
Practice location
7840 Madison Avenue Suite 185Fair Oaks, CA 95628-3518
Phone 916-963-9986 · Fax 916-961-8433
Mailing address
7840 Madison Avenue Suite 185Fair Oaks, CA 95628-3518
Phone 916-963-9986 · Fax 916-961-8433
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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