Fulbright and Faist Dental Partnership

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

FULBRIGHT AND FAIST DENTAL PARTNERSHIP

Doing business as

Fulbright Cosmetic & Reconstructive Dentistry

Practice address

1815 Via El Prado, Suite 200
Redondo Beach, CA 90277

Phone

(310) 316-4477

Fax

(310) 316-4475

NPI assigned

Aug 30, 2023

Last updated

Apr 9, 2024By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Michael Fulbright, DDSNPI 1962545764

Title

Partner

Phone

(310) 316-4477

Specialties & licenses 2

Addresses

Other names 1

• Fulbright Cosmetic & Reconstructive Dentistry Doing business as

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Michael Terry Fulbright, DDS

  • General Practice Dentistry
  • Redondo Beach, CA
  • NPI 1962545764
  NPD Authorized official
• Lauren Estes, DDS

  • Dentist
  • Redondo Beach, CA
  • NPI 1972321636
  NPD
• Kevin Joseph Faist, D.M.D.

  • General Practice Dentistry
  • Redondo Beach, CA
  • NPI 1073878005
  NPD
• Aron Kivel, DDS

  • Dentist
  • Eugene, OR
  • NPI 1891939211
  NPD (past)

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

{
    "created_epoch": "1693353600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1712620800000",
    "number": "1568247203",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO, SUITE 200",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-316-4477",
            "fax_number": "310-316-4475"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1815 VIA EL PRADO, SUITE 200",
            "city": "REDONDO BEACH",
            "state": "CA",
            "postal_code": "90277",
            "telephone_number": "310-316-4477",
            "fax_number": "310-316-4475"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULBRIGHT AND FAIST DENTAL PARTNERSHIP",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-08-30",
        "last_updated": "2024-04-09",
        "certification_date": "2024-04-09",
        "status": "A",
        "authorized_official_last_name": "FULBRIGHT",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_title_or_position": "PARTNER",
        "authorized_official_telephone_number": "310-316-4477",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulbright Cosmetic & Reconstructive Dentistry",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Fulbright Cosmetic & Reconstructive Dentistry",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Carson Quizon Fries
• Anna Cristina Frisancho, OTR/L
• Andrew Frisina
• Rio Marie Frohoff
• Dionne Fugate
• Michael Terry Fulbright, DDS
• Dean A Furkioti, DDS
• Dean Arthur Angelo Furkioti Jr., DDS
• G Smith MD Medical Group Inc.
• Lulit Gabre, IBCLC

• General Practice Dentistry in Redondo Beach, CA
• Providers in Redondo Beach, 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 Apr 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.