Bertha Joy Arder, RDA

Individual provider Active NPI Dental Assistant · Clovis, CA

NPI 1992941256 · NPPES record last updated Dec 16, 2008

Key facts

NPI
1992941256
Entity type
Individual (NPI type 1)
Primary specialty
Dental Assistant 126800000X
License
58332 (CA)
Practice address
200 W Shaw Ave Ste 110
Clovis, CA 93612-3684
Phone
(559) 325-6161
NPI assigned
Dec 16, 2008
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
F.Pakravan Dental Corporation Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Dental Assistant 126800000X 58332 CA Yes

Addresses

Primary practice location

200 W Shaw Ave Ste 110
Clovis, CA 93612-3684

Mailing address

3154 E Clay Ave
Fresno, CA 93702-1013
Phone (559) 264-6881

Other providers in Clovis, CA

All providers in Clovis, CA · Dental Assistant in California

Sources for this page

Verify at the official NPI Registry.