SURGER DENTAL CORPORATION (NPI# 1457711699) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457711699 |
| Entity Type | Organization |
| Organization Name | SURGER DENTAL CORPORATION |
| Practice Address |
1401 Avocado Ave 507 Newport Beach CA 92660-7720 |
| Practice Telephone | 9496400501 |
| Practice Fax Number | 9496400826 |
| Mailing Telephone | 9496400501 |
| Mailing Fax Number | 9496400826 |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2016-03-01 |
| Authorized Official Name | MR. EDWARD SURGER (CEO) |
| Authorized Official Telephone | 9496400501 |
| Authorized Official Credential | DDS |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 1223P0221X |
Dentist Specialization: Pediatric Dentistry |
58618 | CA | Dental Providers |
| Street Address |
1401 AVOCADO AVE 507 |
| City | NEWPORT BEACH |
| State | CA |
| Zip Code | 92660-7720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215929310 | Elizabeth O'connell | Pediatrics | 1401 Avocado Ave, Suite 802, Newport Beach, CA 92660-7720 | 2005-08-16 |
| 1801337613 | Greg Barme Md Inc. | Urology | 1401 Avocado Ave, #608, Newport Beach, CA 92660-7720 | 2017-03-13 |
| 1558804799 | Foroutan Dentistry, Inc | Dentist | 1401 Avocado Ave, Suite 209, Newport Beach, CA 92660-7720 | 2016-11-21 |
| 1003269549 | Annette Mcauley | Dermatology | 1401 Avocado Ave, Ste 703, Newport Beach, CA 92660-7720 | 2016-07-20 |
| 1376990382 | Susan A. Bollinger, Dds, Inc. | Dentist | 1401 Avocado Ave, Suite 309, Newport Beach, CA 92660-7720 | 2016-05-19 |
| 1881058246 | Ambulatory Surgery Unit A | Clinic/Center | 1401 Avocado Ave, Suite 301, Newport Beach, CA 92660-7720 | 2016-04-11 |
| 1366819674 | Eliza-jasmine Tran, Md Inc. | Plastic Surgery | 1401 Avocado Ave, Suite 810, Newport Beach, CA 92660-7720 | 2015-08-24 |
| 1962887703 | Sarah Victoria Standel | Physician Assistant | 1401 Avocado Ave, Suite 703, Newport Beach, CA 92660-7720 | 2015-07-22 |
| 1386031151 | Newport Cosmetic Dental Associates | Dentist | 1401 Avocado Ave, #502, Newport Beach, CA 92660-7720 | 2015-04-20 |
| 1932599891 | Alexandra T Kantor Dds Inc | Dentist | 1401 Avocado Ave, Suite 209, Newport Beach, CA 92660-7720 | 2015-01-30 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275144024 | Lumins Aesthetic and Wellness, Inc | Dermatology | 20281 Sw Birch St, Suite 201, Newport Beach, CA 92660 | 2020-08-14 |
| 1205445798 | Felecia A Pedrogo | Marriage & Family Therapist | 5020 Campus Street, Newport Beach, CA 92660 | 2020-07-30 |
| 1649898388 | Polyviou Dental Corportation, Inc. | Clinic/Center | 120 Newport Beach Drive, Suite 27, Newport Beach, CA 92660 | 2020-07-09 |
| 1154974525 | Jan M. Eckermann, Md Inc. | Neurological Surgery | 1617 W Cliff Dr, Ste 203, Newport Beach, CA 92660 | 2019-07-24 |
| 1235792219 | Horizon Dermatology and Laser Institute | Dermatology | 369 San Miguel Dr. Suite 200, Newport Beach, CA 92660 | 2019-04-16 |
| 1902366925 | Yasmine Central Gohar | Marriage & Family Therapist | 20271 Sw Birch St Ste 200, Newport Beach, CA 92660 | 2019-03-25 |
| 1245703255 | Charison Counseling | Counselor | 4000 Macarthur Bvd Suite 600 East Tower, Newport Beach, CA 92660 | 2019-01-03 |
| 1134698996 | Amber Werner | Chiropractor | 4029 Westerly Place, Suite #115, Newport Beach, CA 92660 | 2018-11-21 |
| 1861969008 | Healthy Me Oc | Dietitian, Registered | 4569 Macarthur Court, Suite 1100, Newport Beach, CA 92660 | 2018-10-25 |
| 1174015192 | Edwin Enwia | Clinic/Center | 1000 Bristol St N Ste 1b, Newport Beach, CA 92660 | 2018-06-05 |
| Find all providers in zip 92660 | ||||
| Taxonomy Code | 1223P0221X |
| Grouping | Dental Providers |
| Classification | Dentist |
| Specialization | Pediatric Dentistry |
| An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
| Notes: Source: Council on Dental Education and Licensure, American Dental Association |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1639142797 | Christian Claudio Lopez | Dentist | 2131 Westcliff Dr Ste 210, Newport Beach, CA 92660-5512 | 2006-02-09 |
| 1386926830 | Edward Fred Surger | Dentist | 1401 Avocado Ave, Suite 507, Newport Beach, CA 92660-7720 | 2011-09-11 |
| 1194050575 | Leslie Jane Aspis | Dentist | 1401 Avocado Ave, Suite 507, Newport Beach, CA 92660-7720 | 2009-10-02 |
| 1356574602 | Rita Daghlian | Dentist | 1401 Avocado Ave, Suite 507, Newport Beach, CA 92660-7720 | 2009-09-02 |
| 1235257437 | Geoffrey Mark Hersch | Dentist | 400 Newport Center Dr, Suite 206, Newport Beach, CA 92660-7601 | 2007-03-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1790385227 | Johnson Ann Wong Dental Corporation | Dentist | 6512 N Figueroa St Ste 3, Los Angeles, CA 90042-2155 | 2020-10-26 |
| 1205440211 | Jessica Choi, Dmd, Dental Corporation | Dentist | 2318 Huntington Dr, San Marino, CA 91108-2641 | 2020-09-08 |
| 1659985802 | Rw Fattouch Dmd, Inc. | Dentist | 42210 Lyndie Ln Ste 100, Temecula, CA 92591-3604 | 2020-09-04 |
| 1174136998 | Armand Begian Dds Inc. | Dentist | 4021 Mission Oaks Blvd # 180, Camarillo, CA 93012-5156 | 2020-08-31 |
| 1164035473 | Armand Begian Dds Inc. | Dentist | 3687 Las Posas Rd Ste 180, Camarillo, CA 93010-1431 | 2020-08-26 |
| 1518577972 | Michael Vincent Laureola Dds Inc | Dentist | 2862 Unit A Canyon Springs Parkway, Riverside, CA 92507 | 2020-07-31 |
| 1396360384 | Drs Salem and Soliman Dental Corp | Dentist | 2119 E Hatch Rd Ste Bandc, Modesto, CA 95351-4814 | 2020-06-15 |
| 1689299471 | Abhishek Batra | Dentist | 11052 Evans St, Loma Linda, CA 92354-2709 | 2020-06-08 |
| 1194348060 | Bryan Chao | Dentist | 1895 Mowry Ave Ste 121, Fremont, CA 94538-1736 | 2020-05-26 |
| 1255953618 | Mohammad Abul-fielat Dds Inc | Dentist | 3825 Tyler St, Riverside, CA 92503 | 2020-05-08 |
| Find all providers with the same taxonomy | ||||
| City | NEWPORT BEACH |
| Zip Code | 92660 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.