Excel Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

48803 Issued in CA

Legal business name

EXCEL DENTAL GROUP

Practice address

1602 N Lemon St
Anaheim, CA 92801

Phone

(714) 525-5558

Fax

(714) 525-8288

NPI assigned

Apr 6, 2007

Last updated

Oct 6, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Vicky A DuongNPI 1013083047

Title

Owner Dentist

Phone

(714) 525-5558

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Vicky Duong, DMD

  • General Practice Dentistry
  • Anaheim, CA
  • NPI 1013083047
  NPD (past) Authorized official

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

{
    "created_epoch": "1175817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1223251200000",
    "number": "1174645410",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1602 N LEMON ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-525-5558",
            "fax_number": "714-525-8288"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1602 N LEMON ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "92801",
            "telephone_number": "714-525-5558",
            "fax_number": "714-525-8288"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EXCEL DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-04-06",
        "last_updated": "2008-10-06",
        "status": "A",
        "authorized_official_last_name": "DUONG",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "A",
        "authorized_official_title_or_position": "OWNER DENTIST",
        "authorized_official_telephone_number": "714-525-5558",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "48803",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DENTICAL",
            "identifier": "G9313501",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Vicki Sue Ewing, MD
• Kevin Ewinger, BA
• Exclusivesenior Care, Inc.
• Executive Residential Services LLC
• Expert Hospice Care, Inc
• Extra Mile Hospice Care
• Eyecare Specialists Medical Group, Inc (Atlantis Eyecare)

• Dentist in Anaheim, CA
• Providers in Anaheim, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2008; 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.