| San Diego Prosthodontics | |
|
8860 Center Dr Ste 460 La Mesa CA 91942-7001 | |
| (619) 463-3773 | |
| (619) 463-1272 |
| Full Name | San Diego Prosthodontics |
|---|---|
| Speciality | Clinic/Center |
| Location | 8860 Center Dr Ste 460, La Mesa, California |
| Authorized Official Name and Position | Scott A Recksiedler (PRESIDENT) |
| Authorized Official Contact | 6194633773 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| San Diego Prosthodontics 8860 Center Dr Ste 460 La Mesa CA 91942-7001 Ph: (619) 463-3773 | San Diego Prosthodontics 8860 Center Dr Ste 460 La Mesa CA 91942-7001 Ph: (619) 463-3773 |
| NPI Number | 1144711979 |
|---|---|
| Provider Enumeration Date | 05/29/2018 |
| Last Update Date | 05/29/2018 |
| Medicare PECOS PAC ID | 4284982851 |
|---|---|
| Medicare Enrollment ID | O20180731000129 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1144711979 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | 60747 (California) | Primary |
| Provider Name | Scott Recksiedler |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1407148216 PECOS PAC ID: 1153639489 Enrollment ID: I20151006000875 |
Peter F Johnson Dmd A Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Suite 110-1, La Mesa, CA 91942 Phone: 619-463-3737 Fax: 619-463-3730 | |
Rigoberto Cervantes, Dds, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8341 La Mesa Blvd, La Mesa, CA 91942 Phone: 650-483-5350 | |
Salehpour Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5153 Jackson Dr, La Mesa, CA 91942 Phone: 619-460-2280 Fax: 619-460-2285 | |
Dr. Anthony P. Varboncoeur Dds,inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5565 Grossmont Center Dr, Suite 129, La Mesa, CA 91942 Phone: 619-463-4486 | |
Prasad Gonavarum D.d.s., Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7122 University Ave, La Mesa, CA 91942 Phone: 619-698-5471 | |
Smile Dental Of San Diego Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7484 University Ave Ste 150, La Mesa, CA 91942 Phone: 619-462-2272 Fax: 619-462-2290 | |
Paul J Michels Dds Pc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8960 Fletcher Pkwy Ste D, La Mesa, CA 91942 Phone: 619-345-7999 Fax: 619-797-1720 |