Organization · Type 2 NPI

Fouladi Professional Dental Corp.

Oral and Maxillofacial Surgery (Dentist) · Sacramento, CA

NPI number 1669114898 Active

Practice location

7551 Timberlake Way Ste 120
Sacramento, CA 95823-5421

Fax (916) 423-3125

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.

2 other providers at this address

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NPI record

NPI: 1669114898
Entity type: Organization (Type 2)
Issued: Apr 8, 2022
Last updated: Apr 8, 2022
Status: Active
Subpart: Yes of Fouladi Professional Dental Corp.

Other names

Sacramento Oral Surgery South · doing business as

Authorized official

Celia Hayes
Credentialing Coordinator
(217) 540-2100

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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 1669114898

Fouladi Professional Dental Corp.'s National Provider Identifier is 1669114898, issued on Apr 8, 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 Apr 8, 2022.