Turlock Oral and Maxillofacial Sugery

Primary specialty

Oral and Maxillofacial Surgery (Dentist)Taxonomy code 1223S0112X

License

53549 Issued in CA

Legal business name

TURLOCK ORAL AND MAXILLOFACIAL SUGERY

Practice address

1810 N Olive Ave Ste 8
Turlock, CA 95382-2500

Phone

(209) 667-5050

Fax

(209) 667-7559

NPI assigned

Aug 12, 2008

Organization subpart

No

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

Authorized official

Name

Dr. Victor T Pak, DDS

Title

Owner

Phone

(209) 667-5050

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Alan John Vallarine, DDS

  • Dentist
  • Turlock, CA
  • NPI 1801983440
  NPD (past)

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

{
    "created_epoch": "1218499200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1218499200000",
    "number": "1487800215",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 N OLIVE AVE STE 8",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822500",
            "telephone_number": "209-667-5050",
            "fax_number": "209-667-7559"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 N OLIVE AVE STE 8",
            "city": "TURLOCK",
            "state": "CA",
            "postal_code": "953822500",
            "telephone_number": "209-667-5050",
            "fax_number": "209-667-7559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TURLOCK ORAL AND MAXILLOFACIAL SUGERY",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-08-12",
        "last_updated": "2008-08-12",
        "status": "A",
        "authorized_official_last_name": "PAK",
        "authorized_official_first_name": "VICTOR",
        "authorized_official_middle_name": "T",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-667-5050",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223S0112X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Oral and Maxillofacial Surgery",
            "state": "CA",
            "license": "53549",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Turlock Eyecare Optometric Corporation
• Turlock Eyecare Optometric Corporation
• Turlock Family Counseling
• Turlock Imaging Services, LLC
• Turlock Inpatient Services a Medical Corporation
• Turlock Regional Cancer Center
• Turlock Smiles Dentistry Dental Group
• Turlock Unified School District
• Turlock Urgent Care
• Turlock Urgent Care Center

• Oral and Maxillofacial Surgery (Dentist) in Turlock, CA
• Providers in Turlock, CA by specialty
• Oral and Maxillofacial Surgery (Dentist) in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 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.