MK SG DENTAL CORP NPI 1164698379

NPI Information

NPI: 1164698379
Provider Name: MK SG DENTAL CORP

Doing Business As: ORANGE COUNTY DENTAL SPECIALIST

Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
15825 LAGUNA CANYON RD
206
IRVINE, CA
ZIP 92618
Phone: (949) 789-8989
Get Directions

MK SG DENTAL CORP is a prosthodontics dentist in Irvine, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. MK SG DENTAL CORP NPI is 1164698379. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Orange County Dental Specialist.

The provider's business location address is:

15825 LAGUNA CANYON RD
206
IRVINE, CA
ZIP 92618-125
Phone: (949) 789-8989
Fax: (949) 453-0970

The provider's authorized official is Sam Gilani .
The authorized official title is Co-owner and has the following contact phone number (949) 789-8989.

The enumeration date for this NPI number is 5/7/2008 and was last updated on 5/7/2008.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License State	Primary
1	1223E0200X	Dentist	Endodontics	CALIFORNIA	No
2	1223P0221X	Dentist	Pediatric Dentistry	CALIFORNIA	No
3	1223P0300X	Dentist	Periodontics	CALIFORNIA	No
4	1223S0112X	Dentist	Oral and Maxillofacial Surgery	CALIFORNIA	No
5	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	CALIFORNIA	No
6	1223P0700X	Dentist	Prosthodontics	CALIFORNIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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