Denture & Implant Centers of America

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

DENTURE & IMPLANT CENTERS OF AMERICA

Doing business as

Denture & Implant Center of Fresno

Practice address

6495 N. Palm Ave St #105
Fresno, CA 93704

Phone

(559) 277-3001

Fax

(559) 277-3031

NPI assigned

Jun 14, 2018

Last updated

Dec 29, 2021By 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

Mr. Mark Leonard Davis, D.D.S.NPI 1447351614

Title

Owner - Dentist

Phone

(559) 277-3001

Specialties & licenses 1

Addresses

Other names 1

• Denture & Implant Center of Fresno Doing business as

Practitioners 1

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.

• Mark Leonard Davis, DDS

  • General Practice Dentistry
  • Fresno, CA
  • NPI 1447351614
  NPD Authorized official

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

{
    "created_epoch": "1528934400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640736000000",
    "number": "1598259459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6495 N. PALM AVE ST #105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93704",
            "telephone_number": "559-277-3001",
            "fax_number": "559-277-3031"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6495 N. PALM AVE ST #105",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "93704",
            "telephone_number": "559-277-3001",
            "fax_number": "559-277-3031"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DENTURE & IMPLANT CENTERS OF AMERICA",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-06-14",
        "last_updated": "2021-12-29",
        "certification_date": "2021-12-29",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "MARK",
        "authorized_official_middle_name": "LEONARD",
        "authorized_official_title_or_position": "OWNER - DENTIST",
        "authorized_official_telephone_number": "559-277-3001",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Denture & Implant Center of Fresno",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Dennis Chinn O D Inc
• Dennis Nishimine, DDS, Inc
• Dennis Tiu DMD, Inc.
• Emily Dennison
• Dental Imaging Solutions
• Sager Singh Deol, MD
• Ingrid Deombeleg
• Department of Behavioral Health
• Department of Behavioral Health
• Department of Behavioral Health

• General Practice Dentistry in Fresno, CA
• Providers in Fresno, 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 Dec 29, 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.