PN DEQUIROZ DDS INC
NPI 1679057186
Clinic/Center - Oral and Maxillofacial Surgery in Santa Maria, CA

Active since September 20, 2018
2503 PROFESSIONAL PKWY, SANTA MARIA, CA 93455(805) 934-4500(805) 934-5263 Get Directions Write a Review

NPPES record last updated: September 20, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Pn Dequiroz Dds Inc NPPES

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

PN DEQUIROZ DDS INC (NPI 1679057186), doing business as Central Coast Dental Implant Center, is a healthcare organization registered as an oral and maxillofacial surgery in Santa Maria, California and active in the NPI registry since September 2018. The organization lists Paraon Nolasco Dequiroz, President, as its authorized official.

NPPES Registry Identity

NPI1679057186
Entity TypeOrganization
Primary Taxonomy261QS0112X
Legal Business NamePN DEQUIROZ DDS INC
Location Address2503 PROFESSIONAL PKWYSanta Maria, CA 93455-1657
Mailing Address2503 Professional PkwySanta Maria, CA 93455-1657 · (805) 934-4500 · Fax (805) 934-5263
Fax(805) 934-5263
Organization SubpartNo
Authorized OfficialParaon Nolasco DequirozPresident · (760) 815-2835
Enumeration DateSeptember 20, 2018
NPI 1679057186 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · Oral and Maxillofacial SurgeryAmbulatory Health Care Facilities
Taxonomy Code261QS0112X
Definition

An oral and maxillofacial surgery clinic or center 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.

2503 PROFESSIONAL PKWY, Santa Maria, CA 93455

Other Names 1

Doing Business AsCentral Coast Dental Implant Center

Other Providers at the Same Location NPPES 3

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

Dentist
2503 PROFESSIONAL PKWY
SANTA MARIA, CA 93455
Clinic/Center (Oral and Maxillofacial Surgery)
2503 PROFESSIONAL PKWY
SANTA MARIA, CA 93455
Dentist
2503 PROFESSIONAL PKWY
SANTA MARIA, CA 93455

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1679057186, enumerated as an "organization" on September 20, 2018.

The provider is located at 2503 PROFESSIONAL PKWY SANTA MARIA, CA 93455 and the phone number is (805) 934-4500.

Clinic/Center with taxonomy code 261QS0112X and a focus in Oral and Maxillofacial Surgery.