Surger Dental Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

58618 Issued in CA

Legal business name

SURGER DENTAL CORPORATION

Practice address

1401 Avocado Ave
507
Newport Beach, CA 92660-7720

Phone

(949) 640-0501

Fax

(949) 640-0826

NPI assigned

Mar 1, 2016

Organization subpart

No

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

Authorized official

Name

Mr. Edward Surger, DDSNPI 1386926830

Title

Ceo

Phone

(949) 640-0501

Specialties & licenses 1

Addresses

Locations

Practitioners 3

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

• Edward Fred Surger, D.D.S.

  • Pediatric Dentistry
  • Newport Beach, CA
  • NPI 1386926830
  NPD (past) Authorized official
• Leslie Jane Aspis, D.M.D.

  • Pediatric Dentistry
  • Newport Beach, CA
  • NPI 1194050575
  NPD (past)
• Rita Daghlian, D.D.S.

  • Pediatric Dentistry
  • Newport Beach, CA
  • NPI 1356574602
  NPD (past)

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

{
    "created_epoch": "1456790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456790400000",
    "number": "1457711699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "507",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607720",
            "telephone_number": "949-640-0501",
            "fax_number": "949-640-0826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1401 AVOCADO AVE",
            "address_2": "507",
            "city": "NEWPORT BEACH",
            "state": "CA",
            "postal_code": "926607720",
            "telephone_number": "949-640-0501",
            "fax_number": "949-640-0826"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SURGER DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-01",
        "last_updated": "2016-03-01",
        "status": "A",
        "authorized_official_last_name": "SURGER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "949-640-0501",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "58618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Spurty Surapaneni, LP
• Deepak Pachagiri Suresh, M.D.
• Morgan Surfas, PA-C
• Surfside Physical Therapy Inc
• Surgecalex
• Edward Fred Surger, D.D.S.
• Surgery Center of Newport Beach, LLC.
• Surgery Center of Pure
• Surgical Oasis Institute
• Surgicare of la Veta, LTD.

• Pediatric Dentistry in Newport Beach, CA
• Providers in Newport Beach, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 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.