FULBRIGHT DENTAL GROUP, PC
NPI 1336384619
Dentist - General Practice in Los Angeles, CA

Active since December 15, 2008
5220 PACIFIC CONCOURSE DR, SUITE #120, LOS ANGELES, CA 90045(800) 373-5400(888) 492-2900 Get Directions Write a Review

NPPES record last updated: October 26, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Oct 26, 2022, Oct 20, 2022, Oct 31, 2016 and 1 more (4 updates tracked since 2016).

About Fulbright Dental Group, Pc NPPES

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

FULBRIGHT DENTAL GROUP, PC (NPI 1336384619) is a healthcare organization registered as a general practice in Los Angeles, California and active in the NPI registry since December 2008. The organization lists Robert S Mathuny, Cfo, as its authorized official.

NPPES Registry Identity

NPI1336384619
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFULBRIGHT DENTAL GROUP, PC
Location Address5220 PACIFIC CONCOURSE DR, SUITE #120Los Angeles, CA 90045-6277
Mailing Address5220 Pacific Concourse Dr, Suite #120Los Angeles, CA 90045-6277 · (800) 373-5400 · Fax (888) 492-2900
Fax(888) 492-2900
Organization SubpartNo
Authorized OfficialRobert S MathunyCfo · (800) 373-5400
Enumeration DateDecember 15, 2008
Last NPPES UpdateOctober 26, 20224 updates tracked since enumeration
NPPES CertifiedOctober 26, 2022
NPI 1336384619 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.
5220 PACIFIC CONCOURSE DR, Los Angeles, CA 90045

Other Identifiers 1

Medicaid47898CA

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

Accepted Insurance

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.

Podiatrist
5220 PACIFIC CONCOURSE DR
LOS ANGELES, CA 90045
Podiatrist (Foot & Ankle Surgery)
5220 PACIFIC CONCOURSE DR, STE 120
LOS ANGELES, CA 90045

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 Fulbright Dental Group, PC's NPI number?

The NPI number for Fulbright Dental Group, PC is 1336384619. It was assigned to this organization in the NPPES registry on December 15, 2008.

Where is Fulbright Dental Group, PC located?

Fulbright Dental Group, PC is located at 5220 Pacific Concourse Dr Suite #120, Los Angeles, CA 90045. The listed phone number is (800) 373-5400.

What is Fulbright Dental Group, PC's specialty?

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

What insurance does Fulbright Dental Group, PC accept?

Health plans from UnitedHealthcare list Fulbright Dental Group, PC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Fulbright Dental Group, PC was last updated on October 26, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.