Orange Coast Dental Specialty

Primary specialty

ProsthodonticsTaxonomy code 1223P0700X

License

54847 Issued in CA

Legal business name

ORANGE COAST DENTAL SPECIALTY

Practice address

20932 Brookhurst St
Suite #202
Huntington Beach, CA 92646-6638

Phone

(714) 968-5500

Fax

(714) 968-5503

NPI assigned

Apr 11, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Dean Dai, DDS

Title

President

Phone

(714) 968-5500

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1207872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207872000000",
    "number": "1174796007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20932 BROOKHURST ST",
            "address_2": "SUITE #202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466638",
            "telephone_number": "714-968-5500",
            "fax_number": "714-968-5503"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20932 BROOKHURST ST",
            "address_2": "SUITE #202",
            "city": "HUNTINGTON BEACH",
            "state": "CA",
            "postal_code": "926466638",
            "telephone_number": "714-968-5500",
            "fax_number": "714-968-5503"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ORANGE COAST DENTAL SPECIALTY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-11",
        "last_updated": "2008-04-11",
        "status": "A",
        "authorized_official_last_name": "DAI",
        "authorized_official_first_name": "DEAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "714-968-5500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Dentist, Prosthodontics",
            "state": "CA",
            "license": "54847",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Prosthodontics in Huntington Beach, CA
• Providers in Huntington Beach, CA by specialty
• Prosthodontics in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 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.