1. Home
  2. Directory
  3. California
  4. Fullerton
  5. Dentist
  6. NPI Profile

FULLERTON ORAL SURGERY
NPI 1477090744
Dentist - Oral and Maxillofacial Surgery in Fullerton, CA

Active since January 25, 2017
113 W AMERIGE AVE, FULLERTON, CA 92832(714) 525-1178(714) 879-6235 Get Directions Write a Review

NPPES record last updated: January 25, 2017. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Fullerton Oral Surgery NPPES

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

FULLERTON ORAL SURGERY (NPI 1477090744) is a healthcare organization registered as an oral and maxillofacial surgery in Fullerton, California and active in the NPI registry since January 2017. The organization lists Steven A Miyamoto, Owner, as its authorized official.

NPPES Registry Identity

NPI1477090744
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameSTEVEN A MIYAMOTO, DDS, INC.
Location Address113 W AMERIGE AVEFullerton, CA 92832-1856
Mailing Address113 W Amerige AveFullerton, CA 92832-1856 · (714) 525-1178 · Fax (714) 879-6235
Phone(714) 525-1178
Fax(714) 879-6235
Organization SubpartNo
Authorized OfficialSteven A MiyamotoOwner · (714) 525-1178
Enumeration DateJanuary 25, 2017
✔ NPI 1477090744 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 · 42368
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.
113 W AMERIGE AVE, Fullerton, CA 92832
Open in Google Maps ↗

Other Names 1

Doing Business AsFullerton Oral Surgery

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

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 Steven A Miyamoto, Dds, Inc.'s NPI number?

The NPI number for Steven A Miyamoto, Dds, Inc. is 1477090744. It was assigned to this organization in the NPPES registry on January 25, 2017. The provider is doing business as Fullerton Oral Surgery.

Where is Steven A Miyamoto, Dds, Inc. located?

Steven A Miyamoto, Dds, Inc. is located at 113 W Amerige Ave, Fullerton, CA 92832. The listed phone number is (714) 525-1178.

What is Steven A Miyamoto, Dds, Inc.'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 Steven A Miyamoto, Dds, Inc. was last updated on January 25, 2017. NPI Profile syncs with the weekly NPPES data releases published by CMS.