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GREATER MODESTO DENTAL IMPLANT &ORAL SURGERY CENTER
NPI 1326468752
Dentist - Oral and Maxillofacial Surgery in Modesto, CA

Active since April 24, 2014
201 E ORANGEBURG AVE, SUITE A, MODESTO, CA 95350(209) 527-5050(209) 527-0659 Get Directions Write a Review

NPPES record last updated: July 1, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Greater Modesto Dental Implant &oral Surgery Center NPPES

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

GREATER MODESTO DENTAL IMPLANT &ORAL SURGERY CENTER (NPI 1326468752) is a healthcare organization registered as an oral and maxillofacial surgery in Modesto, California and active in the NPI registry since April 2014. The organization lists Victoria Bruno, Administrator, as its authorized official.

NPPES Registry Identity

NPI1326468752
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameGREATER MODESTO DENTAL IMPLANT &ORAL SURGERY CENTER
Location Address201 E ORANGEBURG AVE, SUITE AModesto, CA 95350-5355
Mailing Address201 E Orangeburg Ave, Suite AModesto, CA 95350-5355 · (209) 527-5050 · Fax (209) 527-0659
Phone(209) 527-5050
Fax(209) 527-0659
Organization SubpartNo
Authorized OfficialVictoria BrunoAdministrator · (209) 527-5050
Enumeration DateApril 24, 2014
Last NPPES UpdateJuly 1, 2016
✔ NPI 1326468752 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
License✔ Licensed in CA · 32447
Definition
An oral and maxillofacial surgery dentist specialized in 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.
201 E ORANGEBURG AVE, Modesto, CA 95350
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Other Identifiers 2

Medicare UPINU05250
Medicare UPINU11212

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 6

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

STANLEY DALE BAKER D.D.S.
Dentist (Oral and Maxillofacial Surgery)
201 E ORANGEBURG AVE, STE A
MODESTO, CA 95350
Stanislaus County (209) 527-5050
PARROTT ASSOCIATES PHYSTHERAP
Clinic/Center (Physical Therapy)
201 E ORANGEBURG AVE, SUITE E
MODESTO, CA 95350
Stanislaus County (209) 548-0662
ELITE PHYSICAL THERAPY
Clinic/Center (Physical Therapy)
201 E ORANGEBURG AVE, STE E
MODESTO, CA 95350
Stanislaus County (209) 985-3495
DR. MICHAEL EDWARD CADRA M.D., D.M.D.
Dentist (Oral and Maxillofacial Surgery)
201 E ORANGEBURG AVE, STE A
MODESTO, CA 95350
Stanislaus County (209) 527-5050
MRS. COLETTE PERINE OT
Occupational Therapist (Hand)
201 E ORANGEBURG AVE, SUITE E
MODESTO, CA 95350
Stanislaus County (209) 548-0662
AVANTIKA RUDRARAJU
Internal Medicine (Sleep Medicine)
201 E ORANGEBURG AVE
MODESTO, CA 95350
Stanislaus County (209) 522-8881

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 Greater Modesto Dental Implant &oral Surgery Center's NPI number?

The NPI number for Greater Modesto Dental Implant &oral Surgery Center is 1326468752. It was assigned to this organization in the NPPES registry on April 24, 2014.

Where is Greater Modesto Dental Implant &oral Surgery Center located?

Greater Modesto Dental Implant &oral Surgery Center is located at 201 E Orangeburg Ave Suite A, Modesto, CA 95350. The listed phone number is (209) 527-5050.

What is Greater Modesto Dental Implant &oral Surgery Center's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Oral and Maxillofacial Surgery, with taxonomy code 1223S0112X.

When was this NPI record last updated?

The NPPES record for Greater Modesto Dental Implant &oral Surgery Center was last updated on July 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.