| Crossroads Dental | |
|
3053 Edinger Ave Ste M Tustin CA 92780-7204 | |
| (949) 559-5900 | |
| (949) 651-1500 |
| Full Name | Crossroads Dental |
|---|---|
| Speciality | Dentist |
| Location | 3053 Edinger Ave Ste M, Tustin, California |
| Authorized Official Name and Position | Vinit Joshi (DENTIST/ PRESIDENT) |
| Authorized Official Contact | 9495595900 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Crossroads Dental 3053 Edinger Ave Ste M Tustin CA 92780-7204 Ph: (949) 559-5900 | Crossroads Dental 3053 Edinger Ave Ste M Tustin CA 92780-7204 Ph: (949) 559-5900 |
| NPI Number | 1467846139 |
|---|---|
| Provider Enumeration Date | 03/20/2015 |
| Last Update Date | 06/12/2019 |
| Medicare PECOS PAC ID | 1153681424 |
|---|---|
| Medicare Enrollment ID | O20180410002659 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467846139 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 56917 (California) | Primary |
| Provider Name | Steve C Yun |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1750340634 PECOS PAC ID: 8224078274 Enrollment ID: I20050509000986 |
| Provider Name | George Kareem Istaphanous |
|---|---|
| Provider Type | Practitioner - Anesthesiology |
| Provider Identifiers | NPI Number: 1609096395 PECOS PAC ID: 3779674544 Enrollment ID: I20120517000492 |
| Provider Name | Vinit H Joshi |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1023172814 PECOS PAC ID: 0143533463 Enrollment ID: I20180411000419 |
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