Individual provider · Type 1 NPI

Timothy Alan Betita, MD, DDS

Oral and Maxillofacial Surgery (Dentist) · Dana Point, CA

NPI number 1265726897 Active

Practice location

32241 Crown Valley Pkwy Ste 220
Dana Point, CA 92629-3310

Fax (949) 240-2619

Specialties and licenses

TaxonomyCodeLicense
Oral and Maxillofacial Surgery (Dentist) 1223S0112X30090 (TX)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X9811800-9921 (UT)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XA151709 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112XDENT.DE.60660678 (WA)
Oral and Maxillofacial Surgery (Dentist) Primary 1223S0112XDDS101214 (CA)

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.

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About NPI 1265726897

Timothy Alan Betita, MD, DDS's National Provider Identifier is 1265726897, issued on May 31, 2011. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Dana Point, CA. The record was last updated on Apr 16, 2019.