Luis Castillo Professional Dental Corporation in Fresno, CA

Luis Castillo Professional Dental Corporation is a medicare enrolled dental clinic (Clinic/center - Dental) in Fresno, California. The current practice location for Luis Castillo Professional Dental Corporation is 5359 N Fresno St Ste 110f, Fresno, California. For appointments, you can reach them via phone at (559) 221-0302. The mailing address for Luis Castillo Professional Dental Corporation is 5359 N Fresno St Ste 110f, Fresno, California and phone number is () -.

Luis Castillo Professional Dental Corporation is licensed to practice in California (license number 45659). The clinic also participates in the medicare program and its NPI number is 1700305802. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (559) 221-0302.

Contact Information

	Luis Castillo Professional Dental Corporation
	5359 N Fresno St Ste 110f Fresno CA 93710-6864
	(559) 221-0302
	(559) 221-0302

Map and Direction

Dental Care Clinic Profile

Full Name	Luis Castillo Professional Dental Corporation
Speciality	Clinic/Center
Location	5359 N Fresno St Ste 110f, Fresno, California
Authorized Official Name and Position	Annette Castillo (SECRETARY)
Authorized Official Contact	5592210302
Accepts Medicare Insurance	Yes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Luis Castillo Professional Dental Corporation 5359 N Fresno St Ste 110f Fresno CA 93710-6864 Ph: () -	Luis Castillo Professional Dental Corporation 5359 N Fresno St Ste 110f Fresno CA 93710-6864 Ph: (559) 221-0302

NPI Details:

NPI Number	1700305802
Provider Enumeration Date	09/11/2017
Last Update Date	03/17/2018

Medicare PECOS Information:

Medicare PECOS PAC ID	3577995786
Medicare Enrollment ID	O20191108001777

Medical Identifiers

Medical identifiers for Luis Castillo Professional Dental Corporation such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1700305802	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
261QD0000X	Clinic/center - Dental	45659 (California)	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Luis Castillo Professional Dental Corporation acts as a billing entity for following providers:

Provider Name	Luis F Castillo
Provider Type	Practitioner - Dentist
Provider Identifiers	NPI Number: 1265501415 PECOS PAC ID: 7416382817 Enrollment ID: I20200113001774

Reviews and Comments

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Luis Castillo Professional Dental Corporation - Medicare Dental Clinic in Fresno, CA