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NPI Code Detail

MEDICARE: OH DMD INC

MEDICARE: OH DMD INC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
11223X0400XOrthodontics and Dentofacial Orthopedics Dentistry

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1G92452OTHERCADENTI-CAL

General Provider Information

NPI Number : 1922167071
Entity Type Code : Organization
Provider Name (Legal Business Name) : OH DMD INC
Provider Business Mailing Address
First Line : PO BOX 10059
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93389-0059
Country : US
Telephone Number : 661-831-5999
Fax Number : 661-831-1472
Provider Business Practice Location Address
First Line : 3833 MING AVE
Second Line :
City : BAKERSFIELD
State : CA
Zip : 93309-5052
Country : US
Telephone Number : 661-831-5999
Fax Number : 661-831-1472
Authorized Official
Title or Position : PRESIDENT
Name : SAEKYU OH
Credential :
Telephone Number : 661-831-5999
Provider Enumeration Date : 12/06/2006
Last Update Date : 12/04/2025

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Directions to “OH DMD INC ” Practice Location

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