Maria V. Santos, D.M.D., Inc

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

B39078 Issued in CA

Legal business name

MARIA V. SANTOS, D.M.D., INC

Practice address

1103 W Orangethorpe Ave
Fullerton, CA 92833-4735

Phone

(714) 871-8093

NPI assigned

Aug 5, 2007

Organization subpart

No

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

Authorized official

Name

Lourdes Soriano Santos

Title

Office Manager

Phone

(714) 871-8093

Specialties & licenses 1

Addresses

Other names 1

• Victory Dental Practice Doing business as

Tax ID family

Maria V Santos DMD Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Maria V Santos, DMD, Inc

  • General Practice Dentistry
  • Murrieta, CA
  • NPI 1104149038
  NPD tax ID

Locations

Practitioners 1

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

• Maria V Santos, D.M.D.

  • Dentist
  • Fullerton, CA
  • NPI 1184643702
  NPD (past)

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

{
    "created_epoch": "1186272000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1186272000000",
    "number": "1457542581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1103 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334735",
            "telephone_number": "714-871-8093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1103 W ORANGETHORPE AVE",
            "city": "FULLERTON",
            "state": "CA",
            "postal_code": "928334735",
            "telephone_number": "714-871-8093"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARIA V. SANTOS, D.M.D., INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-05",
        "last_updated": "2007-08-05",
        "status": "A",
        "authorized_official_last_name": "SANTOS",
        "authorized_official_first_name": "LOURDES",
        "authorized_official_middle_name": "SORIANO",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "714-871-8093"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "B39078",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Victory Dental Practice",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Maryanne Marcolivio, O.D.
• Emily Mares
• Johnatthon Roger Marez
• Meagan Margheim
• Maria G. Gonzalez, a Licensed Clinical Social Worker Corporation
• Christy Marilo, PT,MPT,PCS
• Briana Michelle Marin
• Kimberly Amber Marin
• Maria Jesus Marin
• Marinelli & Feldman MDS

• General Practice Dentistry in Fullerton, CA
• Providers in Fullerton, 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 Aug 5, 2007; 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.