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General NPI Number Information
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NPI Number | 1902964836
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Entity Type | Individual
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Provider Name | PAUL BAYAT D.D.S.
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Gender | Male
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Dates
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Enumeration Date | 12/04/2006
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Last Update Date | 03/01/2022
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Provider Practice Location Address
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Address Line | 583 N 2ND ST
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City | EL CAJON
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State | CA
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Zip | 92021-6449
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Country | US
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Telephone | 949-370-0739
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Fax |
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Provider Business Mailing Address
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Address Line | PO BOX 60741
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City | IRVINE
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State | CA
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Zip | 92602-6024
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Country | US
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Telephone | 949-370-0739
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number | 54516
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License Number State | CA
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