=====================================================
General NPI Number Information
=====================================================
NPI Number | 1467371211
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | CARL J. FLEISCHMANN D.D.S
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 07/14/2026
-----------------------------------------------------
Last Update Date | 07/14/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 13620 LINCOLN WAY STE 190
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95603-3262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-823-1284
-----------------------------------------------------
Fax | 530-823-3491
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 13620 LINCOLN WAY STE 190
-----------------------------------------------------
City | AUBURN
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95603-3262
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 530-823-1284
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNET
-----------------------------------------------------
Name | CARL JOSEPH FLEISCHMANN
-----------------------------------------------------
Credential | DDS
-----------------------------------------------------
Telephone | 530-823-1284
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261QD0000X
-----------------------------------------------------
Taxonomy Name | Dental Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------