| Coast Dental Group | |
|
12802 Valley View St. Ste. 2 Garden Grove CA 92845 | |
| (714) 995-9700 | |
| (714) 995-2416 |
| Full Name | Coast Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 12802 Valley View St., Garden Grove, California |
| Authorized Official Name and Position | Clara Nguyen (OWNER) |
| Authorized Official Contact | 7149959700 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Coast Dental Group 12802 Valley View St Ste 2 Garden Grove CA 92845-2511 Ph: (714) 995-9700 | Coast Dental Group 12802 Valley View St. Ste. 2 Garden Grove CA 92845 Ph: (714) 995-9700 |
| NPI Number | 1417483124 |
|---|---|
| Provider Enumeration Date | 05/02/2017 |
| Last Update Date | 02/16/2022 |
| Medicare PECOS PAC ID | 7113277039 |
|---|---|
| Medicare Enrollment ID | O20180913001709 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1417483124 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 55617 (California) | Primary |
| Provider Name | Clara Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1972795813 PECOS PAC ID: 8022368943 Enrollment ID: I20180913002173 |
| Provider Name | Carmy G Michael |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1730216599 PECOS PAC ID: 6204171606 Enrollment ID: I20181212002890 |
Thi Minh Nguyen Dmd Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8585 Westminster Ave, Garden Grove, CA 92844 Phone: 714-799-1599 Fax: 714-799-1720 | |
Le, Bich Ngoc, Dds Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14364 Brookhurst St, Garden Grove, CA 92843 Phone: 714-531-2577 Fax: 714-531-2279 | |
Tiep M. Tran Dds Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12732 Brookhurst St, Garden Grove, CA 92840 Phone: 714-539-8899 Fax: 714-539-8999 | |
Smiledaydental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12872 Harbor Blvd, Garden Grove, CA 92840 Phone: 714-638-8273 Fax: 714-699-2586 | |
Jin Y. Kim Dds, Inc. Dental Clinic Medicare: Medicare Enrolled Practice Location: 9681 Garden Grove Blvd Ste 104, Garden Grove, CA 92844 Phone: 713-539-8275 Fax: 714-539-8284 | |
Espiranza Dulnuan Dumulo D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13212 Harbor Blvd, Garden Grove, CA 92843 Phone: 714-638-9999 Fax: 714-638-0697 | |
Phil Trinh, Dds.,inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 12302 Garden Grove Blvd Ste 1, Garden Grove, CA 92843 Phone: 714-534-9292 |