David M Datu DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

40568 Issued in CA

Legal business name

DAVID M DATU DDS

Practice address

1107 E Lincoln Ave
Suite #201
Orange, CA 92865

Phone

(714) 998-2241

Fax

(714) 998-8124

NPI assigned

May 31, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. David M Datu, DDS

Title

Dr Datu Pres Owner

Phone

(714) 998-2241

Specialties & licenses 1

Addresses

Other names 1

• Smile Gallery Dental Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1180569600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1432598400000",
    "number": "1013118488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1107 E LINCOLN AVE",
            "address_2": "SUITE #201",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92865",
            "telephone_number": "714-998-2241",
            "fax_number": "714-998-8124"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1107 E LINCOLN AVE",
            "address_2": "SUITE #201",
            "city": "ORANGE",
            "state": "CA",
            "postal_code": "92865",
            "telephone_number": "714-998-2241",
            "fax_number": "714-998-8124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DAVID M DATU DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-31",
        "last_updated": "2015-05-26",
        "status": "A",
        "authorized_official_last_name": "DATU",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DR DATU PRES OWNER",
        "authorized_official_telephone_number": "714-998-2241",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "40568",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Smile Gallery Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Gregory Davenport, LMFT
• David B Stanton, MD
• David B. Ciminski, O.D.
• David B. Stanton M.D. & Associates, a Medical Group, Inc.
• David L. Bell, M.D., Inc.
• David M. Kennedy, D.D.S., P.C.
• David R. Crouch, DDS Inc
• April Ray David
• Clarissa David
• Michelle Deanne Davidson, LCSW

• General Practice Dentistry in Orange, CA
• Providers in Orange, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.