Abousheta Dental Corporation

Organization Active NPI Orthodontics and Dentofacial Orthopedics Dentistry · Irvine, CA

NPI 1376109249 · NPPES record last updated Jun 11, 2019

Key facts

NPI
1376109249
Entity type
Organization (NPI type 2)
Primary specialty
Orthodontics and Dentofacial Orthopedics Dentistry 1223X0400X
Legal business name
ABOUSHETA DENTAL CORPORATION
Practice address
4482 Barranca Pkwy Ste 102
Irvine, CA 92604-4744
Phone
(949) 786-7800
NPI assigned
May 15, 2019
Organization subpart
No

Authorized official

Name
Tarek Abousheta, DDS MSD
Title
President
Phone
(314) 853-5642

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

National Provider Directory

Locations

4482 Barranca Pkwy
Ste 102
Irvine, CA 92604
Phone (949) 786-7800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry
Group: 193200000X MULTI-SPECIALTY GROUP
1223X0400X Yes

Addresses

Primary practice location

4482 Barranca Pkwy Ste 102
Irvine, CA 92604-4744

Mailing address

4482 Barranca Pkwy Ste 102
Irvine, CA 92604-4744
Phone (949) 786-7800

Other identifiers

IdentifierTypeStateIssuer
1659714194OtherCANPI

Other names

  • Irvine orthodontics Doing business as

Other providers in Irvine, CA

All providers in Irvine, CA · Orthodontics and Dentofacial Orthopedics Dentistry in California

Sources for this page

Verify at the official NPI Registry.