| Fresno Oral Maxillofacial Surgery And Dental Implant Center | |
|
1903 E Fir Ave Ste 101 Fresno CA 93720-3862 | |
| (559) 226-2722 | |
| (559) 226-6989 |
| Full Name | Fresno Oral Maxillofacial Surgery And Dental Implant Center |
|---|---|
| Speciality | Dentist |
| Location | 1903 E Fir Ave Ste 101, Fresno, California |
| Authorized Official Name and Position | Ryan Smith (DIRECTOR OF OPERATIONS) |
| Authorized Official Contact | 5593265932 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Fresno Oral Maxillofacial Surgery And Dental Implant Center 1903 E Fir Ave Ste 101 Fresno CA 93720-3862 Ph: (559) 226-2722 | Fresno Oral Maxillofacial Surgery And Dental Implant Center 1903 E Fir Ave Ste 101 Fresno CA 93720-3862 Ph: (559) 226-2722 |
| NPI Number | 1750481735 |
|---|---|
| Provider Enumeration Date | 09/22/2006 |
| Last Update Date | 05/14/2021 |
| Medicare PECOS PAC ID | 4981789377 |
|---|---|
| Medicare Enrollment ID | O20080310000375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1750481735 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Ardavan R Kheradpir |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1053417261 PECOS PAC ID: 3274618681 Enrollment ID: I20080310000508 |
| Provider Name | Allen T Chien |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1518145598 PECOS PAC ID: 6608912985 Enrollment ID: I20090930000611 |
| Provider Name | Shannon K Barnhart |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1932302486 PECOS PAC ID: 9335375674 Enrollment ID: I20140124001268 |
| Provider Name | Brian Kangwoo Huh |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1417390253 PECOS PAC ID: 6901152164 Enrollment ID: I20180702002738 |
| Provider Name | Thomas M Curiel |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1104113455 PECOS PAC ID: 9032341219 Enrollment ID: I20210524001758 |
| Provider Name | Shayan Salim |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1689051898 PECOS PAC ID: 4082098694 Enrollment ID: I20220831001992 |
Raji Haddad D.d.s. Inc. Dba First Family Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 310 W Shaw Ave, Fresno, CA 93704 Phone: 559-229-8200 | |
Kamal Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6319 N Fresno St Ste 101, Fresno, CA 93710 Phone: 559-438-6177 |