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PREMIER DENTAL OF SOUTH ORANGE COUNTY
NPI 1386296952
Clinic/Center - Dental in Aliso Viejo, CA

Active since July 12, 2019
24541 PACIFIC PARK DR STE 240, ALISO VIEJO, CA 92656(949) 831-0051(949) 831-0037 Get Directions Write a Review

NPPES record last updated: July 12, 2019. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Table of Contents

  1. NPI Profile Information
  2. Primary Taxonomy
  3. Authorized Official
  4. Other Providers Same Location
  5. Frequently Asked Questions
  • Organization
  • Clinic/Center
  • Dental

About PREMIER DENTAL OF SOUTH ORANGE COUNTY

This page provides the complete NPI Profile along with additional information for Premier Dental Of South Orange County, a provider established in Aliso Viejo, California operating as a Clinic/center, focusing in dental . The healthcare provider is registered in the NPI registry with number 1386296952 assigned on July 2019. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Mrs. Marian S Bradford Dds (Dentist/owner)

NPI
1386296952 Verify this NPI
Provider Name
PREMIER DENTAL OF SOUTH ORANGE COUNTY
Entity Type
Organization
Location Address
24541 PACIFIC PARK DR STE 240 ALISO VIEJO, CA 92656
Location Phone
(949) 831-0051
Location Fax
(949) 831-0037
Mailing Address
24541 PACIFIC PARK DR STE 240 ALISO VIEJO, CA 92656
Mailing Phone
(949) 831-0051
Mailing Fax
(949) 831-0037
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-12-2019
Last Update Date
07-12-2019
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Clinic/Center Dental

Taxonomy Code
261QD0000X
Type
Ambulatory Health Care Facilities

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MRS. MARIAN S BRADFORD DDS

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(949) 831-0051

Reviews for PREMIER DENTAL OF SOUTH ORANGE COUNTY

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

PREMIER PEDIATRIC DENTISTRY INC
Dentist (Pediatric Dentistry)
24541 PACIFIC PARK DR STE 240
ALISO VIEJO, CA 92656
Orange County (949) 880-6683

Frequently Asked Questions

What is PREMIER DENTAL OF SOUTH ORANGE COUNTY's NPI number?

The NPI number assigned to this healthcare provider is 1386296952, enumerated as an "organization" on July 12, 2019.

Where is the provider located?

The provider is located at 24541 PACIFIC PARK DR STE 240 ALISO VIEJO, CA 92656 and the phone number is (949) 831-0051.

What is the provider's specialty?

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.