| Makan Dental Corporation | |
|
5555 Truxtun Ave Ste 200 Bakersfield CA 93309-0604 | |
| (310) 872-8681 | |
| Not Available |
| Full Name | Makan Dental Corporation |
|---|---|
| Speciality | Dentist |
| Location | 5555 Truxtun Ave Ste 200, Bakersfield, California |
| Authorized Official Name and Position | Sirish Makan (CLINICAL DIRECTOR) |
| Authorized Official Contact | 3108728681 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Makan Dental Corporation 1908 Rue Le Charlene Rancho Palos Verdes CA 90275-6372 Ph: (310) 872-8681 | Makan Dental Corporation 5555 Truxtun Ave Ste 200 Bakersfield CA 93309-0604 Ph: (310) 872-8681 |
| NPI Number | 1790433001 |
|---|---|
| Provider Enumeration Date | 03/15/2022 |
| Last Update Date | 10/26/2022 |
| Medicare PECOS PAC ID | 6709256456 |
|---|---|
| Medicare Enrollment ID | O20221221002564 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790433001 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Primary |
| Provider Name | Jayini Thakker |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1386847648 PECOS PAC ID: 0345476818 Enrollment ID: I20131112001434 |
| Provider Name | Sirish Makan |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1821386285 PECOS PAC ID: 6406144542 Enrollment ID: I20170614001122 |
| Provider Name | Robert N Sharobiem |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1770898702 PECOS PAC ID: 6103100672 Enrollment ID: I20211117001736 |
| Provider Name | Julene Marlena Funk |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1851930457 PECOS PAC ID: 5890132773 Enrollment ID: I20240327002888 |
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