MEDICARE: BADII DENTAL COPORATION

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
1	261QD0000X	Dental Clinic/Center

General Provider Information

NPI Number	:	1134611015
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	BADII DENTAL COPORATION

Provider Business Mailing Address
First Line	:	1424 S EUCLID ST
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92832-3152
Country	:	US
Telephone Number	:	714-441-1414
Fax Number	:	714-441-1445

Provider Business Practice Location Address
First Line	:	1424 S EUCLID ST
Second Line	:
City	:	FULLERTON
State	:	CA
Zip	:	92832-3152
Country	:	US
Telephone Number	:	714-441-1414
Fax Number	:	714-441-1445

Authorized Official
Title or Position	:	PRESIDENT & CEO
Name	:	DR. KIAVASH KEVIN BADII
Credential	:	DDS
Telephone Number	:	714-441-1414

Provider Enumeration Date	:	06/05/2018
Last Update Date	:	02/20/2026

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Directions to “BADII DENTAL COPORATION ” Practice Location

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