Individual provider · Type 1 NPI

Eric A. Prouty, DMD

General Practice Dentistry · Costa Mesa, CA

NPI number 1609836469 Active

Practice location

3151 Airway Ave, Suite M2
Costa Mesa, CA 92626-4607

Call (714) 668-9811 Map

Fax (714) 668-9811

Mailing address

2 Cuervo Dr
Aliso Viejo, CA 92656-1742

Specialties and licenses

TaxonomyCodeLicense
General Practice Dentistry Primary 1223G0001X32651 (CA)

General Practice Dentistry: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

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About NPI 1609836469

Eric A. Prouty, DMD's National Provider Identifier is 1609836469, issued on Mar 24, 2006. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Costa Mesa, CA. The record was last updated on Mar 28, 2008.