Healthcare Provider Details
I. General information
NPI: 1902485022
Provider Name (Legal Business Name): AKPINAR DENTAL CORPORATION
Entity Type: Organization
Gender:
Sole Proprietor:
II. Dates (important events)
Enumeration Date: 04/06/2021
Last Update Date: 06/21/2021
Certification Date: 06/21/2021
Deactivation Date:
Reactivation Date:
III. Provider practice location address
2781 W MACARTHUR BLVD STE C
SANTA ANA CA
92704-7095
US
IV. Provider business mailing address
1530 E GOLDEN VALLEY WAY
FRESNO CA
93730-3587
US
V. Phone/Fax
- Phone: 714-957-6030
- Fax: 714-437-5305
- Phone: 661-202-7931
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | N |
| Taxonomy Code | 261QD0000X |
| Taxonomy | Dental Clinic/Center |
| License Number | |
| License Number State | |
| # 2 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 1223G0001X |
| Taxonomy | General Practice Dentistry |
| License Number | |
| License Number State | |
VIII. Authorized Official
Name:
REYHAN
AKPINAR
Title or Position: DENTIST
Credential: DDS
Phone: 661-202-7931