| Elite Smiles | |
|
12791 Newport Ave Ste 208 Tustin CA 92780-8023 | |
| (714) 544-1740 | |
| Not Available |
| Full Name | Elite Smiles |
|---|---|
| Speciality | Dentist - Orthodontics And Dentofacial Orthopedics |
| Location | 12791 Newport Ave Ste 208, Tustin, California |
| Authorized Official Name and Position | Henry C Schuppert (PRESIDENT) |
| Authorized Official Contact | 9498639620 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elite Smiles 20062 Sw Birch St Ste 220 Newport Beach CA 92660-1519 Ph: (949) 863-9620 | Elite Smiles 12791 Newport Ave Ste 208 Tustin CA 92780-8023 Ph: (714) 544-1740 |
| NPI Number | 1104141316 |
|---|---|
| Provider Enumeration Date | 03/30/2010 |
| Last Update Date | 03/30/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104141316 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223X0400X | Dentist - Orthodontics And Dentofacial Orthopedics | 54324 (California) | Primary |
M Roberta Dornan Dds Inc Dental Clinic Medicare: Medicare Enrolled Practice Location: 13422 Newport Ave Ste B, Tustin, CA 92780 Phone: 714-544-2020 Fax: 714-544-7620 | |
Mark Avetoom, Dds Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 210 W Main St Ste 106, Tustin, CA 92780 Phone: 714-544-1877 Fax: 714-832-3200 | |
Masoudaramdds.inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13771 Newport Ave, #11, Tustin, CA 92780 Phone: 714-838-7777 Fax: 714-838-7777 | |
Kanthi J Appannagari Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 17400 Irvine Blvd Ste E, Tustin, CA 92780 Phone: 714-371-0776 Fax: 714-371-0179 | |
Gina Tuyet Nguyen Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 14771 Plaza Dr Ste D, Tustin, CA 92780 Phone: 714-616-4416 | |
Michael J. Paquette, D.d.s., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 381 E 1st St, Tustin, CA 92780 Phone: 714-838-7561 Fax: 714-838-2873 | |
Sun Jiaqi Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 13217 Jamboree Rd Ste 281, Tustin, CA 92782 Phone: 949-431-6767 |