Healthcare Provider Details

I. General information

NPI: 1467371211
Provider Name (Legal Business Name): CARL J. FLEISCHMANN D.D.S
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/14/2026
Last Update Date: 07/14/2026
Certification Date: 07/14/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13620 LINCOLN WAY STE 190
AUBURN CA
95603-3262
US

IV. Provider business mailing address

13620 LINCOLN WAY STE 190
AUBURN CA
95603-3262
US

V. Phone/Fax

Practice location:
  • Phone: 530-823-1284
  • Fax: 530-823-3491
Mailing address:
  • Phone: 530-823-1284
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: CARL JOSEPH FLEISCHMANN
Title or Position: OWNET
Credential: DDS
Phone: 530-823-1284