Organization · Type 2 NPI

Fouladi Professional Dental Corp.

Oral and Maxillofacial Surgery (Dentist) · Sacramento, CA

NPI number 1003533985 Active

Practice location

2503 K St
Sacramento, CA 95816-5101

Fax (916) 448-2322

Specialties and licenses

Taxonomy	Code	License
Oral and Maxillofacial Surgery (Dentist) Primary	1223S0112X	None listed

Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Another provider at this address

Brian Lee Royse, DDSOral and Maxillofacial Surgery (Dentist) Sacramento, CA NPI 1417002783

Other oral and maxillofacial surgery (dentist) providers in Sacramento

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NPI record

NPI: 1003533985
Entity type: Organization (Type 2)
Issued: Oct 21, 2022
Last updated: Oct 21, 2022
Status: Active
Subpart: Yes of Fouladi Professional Dental Corp.

Other names

Sacramento Oral Surgery Midtown · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1003533985

Fouladi Professional Dental Corp.'s National Provider Identifier is 1003533985, issued on Oct 21, 2022. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Sacramento, CA. The record was last updated on Oct 21, 2022.