Fresno Dental Surgery Center LLC

Primary specialty

Ambulatory Surgical Clinic/CenterTaxonomy code 261QA1903X

Legal business name

FRESNO DENTAL SURGERY CENTER LLC

Practice address

2828 Fresno St
Suite 100
Fresno, CA 93721-1327

Phone

(559) 263-9648

Fax

(559) 263-9777

NPI assigned

Dec 16, 2016

Last updated

Dec 16, 2016By 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

Raymond Figueroa

Title

President, Ceo & Secretary

Phone

(717) 968-8729

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1481846400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1481846400000",
    "number": "1235673773",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2828 FRESNO ST",
            "address_2": "SUITE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211327",
            "telephone_number": "559-263-9648",
            "fax_number": "559-263-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2828 FRESNO ST",
            "address_2": "SUITE 100",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937211327",
            "telephone_number": "559-263-9648",
            "fax_number": "559-263-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FRESNO DENTAL SURGERY CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-16",
        "last_updated": "2016-12-16",
        "status": "A",
        "authorized_official_last_name": "FIGUEROA",
        "authorized_official_first_name": "RAYMOND",
        "authorized_official_title_or_position": "PRESIDENT, CEO & SECRETARY",
        "authorized_official_telephone_number": "717-968-8729"
    },
    "taxonomies": [
        {
            "code": "261QA1903X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Ambulatory Surgical",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fresno County Superintendent of Schools
• Fresno County West Fresno Regional MH Clinic
• Fresno County Youth Link
• Fresno County, DCFS- Children's Mental Health
• Fresno County, Department of Behavioral Services
• Fresno Dermatology Specialists, Inc (Paz Dermatology)
• Fresno Endodontic Group
• Fresno Endoscopy Center
• Fresno Family Therapy
• Fresno Family Wellness Group, Inc.

• Ambulatory Surgical Clinic/Center in Fresno, CA
• Providers in Fresno, CA by specialty
• Ambulatory Surgical Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 16, 2016; 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.