Organization · Type 2 NPI

Brian K. Hutto, Dmd, Inc.

Oral and Maxillofacial Surgery Clinic/Center · Modesto, CA

NPI number 1053974196 Active

Practice location

2301 St Pauls Way
Modesto, CA 95355-3309

Fax (209) 522-4703

Mailing address

1213 Coffee Rd Ste D
Modesto, CA 95355-4229

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery Clinic/Center Primary 261QS0112XNone listed

Oral and Maxillofacial Surgery Clinic/Center: 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.

2 other providers at this address

About NPI 1053974196

Brian K. Hutto, Dmd, Inc.'s National Provider Identifier is 1053974196, issued on Apr 15, 2019. The primary taxonomy on file is Oral and Maxillofacial Surgery Clinic/Center (261QS0112X), and the practice location is in Modesto, CA. The record was last updated on Feb 4, 2024.