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ALEJANDRO ECHEVERRY DDS & MAURICIO FONRODONA DDS INC. NPI 1285893792


NPI Information

NPI: 1285893792
Provider Name: ALEJANDRO ECHEVERRY DDS & MAURICIO FONRODONA DDS INC.

Doing Business As: FILLMORE DENTAL GROUP

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1317 W VENTURA ST UNIT C
FILLMORE, CA
ZIP 93015
Phone: (805) 524-9100
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ALEJANDRO ECHEVERRY DDS & MAURICIO FONRODONA DDS INC. is an oral and maxillofacial surgery clinic center in Fillmore, CA. The provider is an oral and maxillofacial surgery clinic or center specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. ALEJANDRO ECHEVERRY DDS & MAURICIO FONRODONA DDS INC. NPI is 1285893792. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Fillmore Dental Group.

The provider's business location address is:

1317 W VENTURA ST UNIT C
FILLMORE, CA
ZIP 93015-690
Phone: (805) 524-9100
Fax: (805) 524-9500

The provider's authorized official is Alejandro Echeverry .
The authorized official title is Dentist and has the following contact phone number (805) 524-9100.

The enumeration date for this NPI number is 6/9/2008 and was last updated on 11/15/2022.


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 Number License State Primary
11223G0001XDentistGeneral Practice49876CALIFORNIANo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
1G89695-01OTHERCALIFORNIADENTICAL

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: 5/5/2024

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