Byun, Liu, and Patel a Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

BYUN, LIU, AND PATEL A DENTAL CORPORATION

Practice address

1161 N Euclid St
Anaheim, CA 92801-1938

Phone

(714) 999-5050

NPI assigned

Oct 22, 2021

Organization subpart

No

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

Authorized official

Name

Dr. Jetan Patel, DDS

Title

Cfo

Phone

(562) 967-0126

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1634860800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634860800000",
    "number": "1578227955",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12292 NANTUCKET PL",
            "city": "SEAL BEACH",
            "state": "CA",
            "postal_code": "907402772",
            "telephone_number": "562-967-0126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1161 N EUCLID ST",
            "city": "ANAHEIM",
            "state": "CA",
            "postal_code": "928011938",
            "telephone_number": "714-999-5050"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BYUN, LIU, AND PATEL A DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-22",
        "last_updated": "2021-10-22",
        "certification_date": "2021-10-22",
        "status": "A",
        "authorized_official_last_name": "PATEL",
        "authorized_official_first_name": "JETAN",
        "authorized_official_title_or_position": "CFO",
        "authorized_official_telephone_number": "562-967-0126",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Anaheim, CA
• Providers in Anaheim, 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 Oct 22, 2021; 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.