MEDICARE: TOZZER & BAJWA DENTAL CORP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy
1	122300000X	Dentist
2	332BC3200X	Customized Equipment (DME)
3	1223G0001X	General Practice Dentistry

General Provider Information

NPI Number	:	1568086882
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	TOZZER & BAJWA DENTAL CORP

Provider Business Mailing Address
First Line	:	50 MONTICELLO
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92620-2630
Country	:	US
Telephone Number	:	949-337-9756
Fax Number	:

Provider Business Practice Location Address
First Line	:	14785 JEFFREY RD STE 112
Second Line	:
City	:	IRVINE
State	:	CA
Zip	:	92618-0410
Country	:	US
Telephone Number	:	349-387-3096
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	DR. CHARLES TOZZER
Credential	:	DDS
Telephone Number	:	949-857-1270

Provider Enumeration Date	:	06/02/2020
Last Update Date	:	02/10/2026

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