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PACKWOOD CREEK DENTAL GROUP
NPI 1265839831
Dentist - General Practice in Visalia, CA

Active since November 26, 2014
4129 S MOONEY BLVD, SUITE B, VISALIA, CA 93277(559) 732-1953(559) 732-1983 Get Directions Write a Review

NPPES record last updated: March 8, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Packwood Creek Dental Group NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

PACKWOOD CREEK DENTAL GROUP (NPI 1265839831) is a healthcare organization registered as a general practice in Visalia, California and active in the NPI registry since November 2014. The organization lists Bevan S Fareid, Owner, as its authorized official.

NPPES Registry Identity

NPI1265839831
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAREID DENTAL CORPORATION
Location Address4129 S MOONEY BLVD, SUITE BVisalia, CA 93277-9147
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (949) 474-1495
Phone(559) 732-1953
Fax(559) 732-1983
Organization SubpartNo
Authorized OfficialBevan S FareidOwner · (559) 732-1953
Enumeration DateNovember 26, 2014
Last NPPES UpdateMarch 8, 2022
NPPES CertifiedMarch 8, 2022
✔ NPI 1265839831 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
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.
4129 S MOONEY BLVD, Visalia, CA 93277
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Other Names 1

Doing Business AsPackwood Creek Dental Group

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

DR. PATRICIA IBARRA TORRES-MOLINA D.D.S.
Dentist (General Practice)
4129 S MOONEY BLVD
VISALIA, CA 93277
Tulare County (559) 732-1953
MARY INMAN DDS
Dentist
4129 S MOONEY BLVD
VISALIA, CA 93277
Tulare County (559) 732-1953

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Fareid Dental Corporation's NPI number?

The NPI number for Fareid Dental Corporation is 1265839831. It was assigned to this organization in the NPPES registry on November 26, 2014. The provider is doing business as Packwood Creek Dental Group.

Where is Fareid Dental Corporation located?

Fareid Dental Corporation is located at 4129 S Mooney Blvd Suite B, Visalia, CA 93277. The listed phone number is (559) 732-1953.

What is Fareid Dental Corporation's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Fareid Dental Corporation was last updated on March 8, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.