| Santa Maria Dentistry | |
|
6039 Beach Blvd Buena Park CA 90621-2304 | |
| (714) 994-1456 | |
| (714) 994-1530 |
| Full Name | Santa Maria Dentistry |
|---|---|
| Speciality | Dentist |
| Location | 6039 Beach Blvd, Buena Park, California |
| Authorized Official Name and Position | Pauline Nguyen (OWNER PRESIDENT) |
| Authorized Official Contact | 7149941456 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Santa Maria Dentistry 6039 Beach Blvd Buena Park CA 90621-2304 Ph: (714) 994-1456 | Santa Maria Dentistry 6039 Beach Blvd Buena Park CA 90621-2304 Ph: (714) 994-1456 |
| NPI Number | 1467433276 |
|---|---|
| Provider Enumeration Date | 11/09/2005 |
| Last Update Date | 08/22/2020 |
| Medicare PECOS PAC ID | 0547264483 |
|---|---|
| Medicare Enrollment ID | O20060906000608 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1467433276 | NPI | - | NPPES |
| G9354001 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 49954 (California) | Primary |
| Provider Name | Pauline Nguyen |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1922029727 PECOS PAC ID: 7810991759 Enrollment ID: I20060906000605 |
Dentists Of Buena Park Dental Group Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7540 Orangethorpe Ave Ste A1, Buena Park, CA 90621 Phone: 714-576-2540 Fax: 714-576-2540 | |
Randall T Kanemaki Dds Randall T Kanemaki Dr Kanemaki Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8751 Valley View Street, Suite #b, Buena Park, CA 90620 Phone: 714-827-2545 Fax: 714-827-0506 | |
Foroutan Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8951 Knott Ave Ste L, Buena Park, CA 90620 Phone: 714-826-4181 | |
J Bhaheetharan Dental Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 6131 Orangethorpe Ave Ste 405, Buena Park, CA 90620 Phone: 714-786-6965 | |
Yoon Smile Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8600 Beach Blvd Ste 105, Buena Park, CA 90620 Phone: 714-886-2270 Fax: 714-886-2264 | |
St. Jude Dental Clinic Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 7758 Knott Ave, Buena Park, CA 90620 Phone: 714-522-8723 | |
Western Dental Services, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 5971 Lincoln Ave, Buena Park, CA 90620 Phone: 714-995-3976 Fax: 714-995-7124 |