Kuzma Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

KUZMA DENTAL CORPORATION

Practice address

3694 Hilborn Rd Ste 200
Fairfield, CA 94534-7988

Phone

(707) 422-8404

NPI assigned

Jul 18, 2022

Organization subpart

No

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

Authorized official

Name

Matthew KuzmaNPI 1699226365

Title

Owner

Phone

(707) 422-8404

Specialties & licenses 1

Addresses

Other names 1

• Kuzma DDS Cosmetic and Implant Dentistry Doing business as

Locations

Practitioners 2

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

• Matthew Robert Kuzma, DDS

  • Dentist
  • Fairfield, CA
  • NPI 1699226365
  NPD Authorized official
• Walter Dmitri Kuzma, DDS

  • General Practice Dentistry
  • Fairfield, CA
  • NPI 1285787796
  NPD (past)

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

{
    "created_epoch": "1658102400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1658102400000",
    "number": "1497480214",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD STE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347988",
            "telephone_number": "707-422-8404"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3694 HILBORN RD STE 200",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945347988",
            "telephone_number": "707-422-8404"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KUZMA DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-07-18",
        "last_updated": "2022-07-18",
        "certification_date": "2022-07-18",
        "status": "A",
        "authorized_official_last_name": "KUZMA",
        "authorized_official_first_name": "MATTHEW",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "707-422-8404"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kuzma DDS Cosmetic and Implant Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Yelena Krijanovski, M.D.
• Kristen M. Boothe a Marriage and Family Corporation
• Kristen M. Boothe a Marriage and Family Counseling Corporation
• Sarah Krupa
• Kristopher Vincent Kuhl, DO
• Matthew Robert Kuzma, DDS
• Walter Dmitri Kuzma, DDS
• Niinana Kweku
• Cliff Chun Wai Kwong
• L & S Comfort Senior Services, Inc

• General Practice Dentistry in Fairfield, CA
• Providers in Fairfield, 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 Jul 18, 2022; 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.