WALNUT CREEK-DANVILLE ORAL SURGERY
NPI 1679878763
Clinic/Center - Oral and Maxillofacial Surgery in Walnut Creek, CA

Q: What is Walnut Creek-Danville Oral Surgery's NPI number?

The NPI number for Walnut Creek-Danville Oral Surgery is 1679878763. It was assigned to this organization in the NPPES registry on January 20, 2011.

Q: What is Walnut Creek-Danville Oral Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

Active since January 20, 2011

1855 SAN MIGUEL DR, SUITE 25, WALNUT CREEK, CA 94596(925) 934-5565(925) 934-6003 Get Directions Write a Review

NPPES record last updated: January 29, 2018. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Walnut Creek-danville Oral Surgery NPPES

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

WALNUT CREEK-DANVILLE ORAL SURGERY (NPI 1679878763) is a healthcare organization registered as an oral and maxillofacial surgery in Walnut Creek, California and active in the NPI registry since January 2011. The organization lists Terri Matulovich, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1679878763

Entity TypeOrganization

Primary Taxonomy261QS0112X

Legal Business NameWALNUT CREEK-DANVILLE ORAL SURGERY

Location Address1855 SAN MIGUEL DR, SUITE 25Walnut Creek, CA 94596-5279

Mailing Address1855 San Miguel Dr, Suite 25Walnut Creek, CA 94596-5279 · (925) 934-5565 · Fax (925) 934-6003

Phone(925) 934-5565

Fax(925) 934-6003

Organization SubpartNo

Authorized OfficialTerri MatulovichOffice Manager · (925) 934-5565

Enumeration DateJanuary 20, 2011

Last NPPES UpdateJanuary 29, 2018

✔ NPI 1679878763 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

Licenses✔ Licensed in CA · 30346✔ Licensed in CA · 37490

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.

1855 SAN MIGUEL DR, Walnut Creek, CA 94596

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Other Providers at the Same Location NPPES 20

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

DR. ADAM CHARLES MARRE MD, DDS

Oral & Maxillofacial Surgery

1855 SAN MIGUEL DR, STE 25
WALNUT CREEK, CA 94596

Contra Costa County (925) 934-5565

JOSEPH F BARAKEH DO PHD

Ophthalmology

1855 SAN MIGUEL DR, #28
WALNUT CREEK, CA 94596

Contra Costa County (925) 935-4978

DR. BOBBY GLENN AYCOCK M.D.

Plastic Surgery

1855 SAN MIGUEL DR, SUITE 4
WALNUT CREEK, CA 94596

Contra Costa County (925) 937-8377

DR. ALEXIS SMITH PSY.D.

Psychologist (Clinical)

1855 SAN MIGUEL DR, STE 23
WALNUT CREEK, CA 94596

Contra Costa County (925) 324-1593

MICHELLE MASUDA DDS, MSD

Dentist (Orthodontics and Dentofacial Orthopedics)

1855 SAN MIGUEL DR, #22
WALNUT CREEK, CA 94596

Contra Costa County (925) 934-3583

ALEX RADER DDS INC

Dentist

1855 SAN MIGUEL DR, STE 12
WALNUT CREEK, CA 94596

Contra Costa County (925) 932-1855

WALNUT CREEK OPTICAL

Eyewear Supplier

1855 SAN MIGUEL DR, #27A
WALNUT CREEK, CA 94596

Contra Costa County (925) 935-8822

MARK R. MAHER DDS, INC.

Clinic/Center (Dental)

1855 SAN MIGUEL DR, SUITE 1
WALNUT CREEK, CA 94596

Contra Costa County (925) 935-1159

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 Walnut Creek-Danville Oral Surgery's NPI number?

The NPI number for Walnut Creek-Danville Oral Surgery is 1679878763. It was assigned to this organization in the NPPES registry on January 20, 2011.

Where is Walnut Creek-Danville Oral Surgery located?

Walnut Creek-Danville Oral Surgery is located at 1855 San Miguel Dr Suite 25, Walnut Creek, CA 94596. The listed phone number is (925) 934-5565.

What is Walnut Creek-Danville Oral Surgery's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Oral and Maxillofacial Surgery, with taxonomy code 261QS0112X.

When was this NPI record last updated?

The NPPES record for Walnut Creek-Danville Oral Surgery was last updated on January 29, 2018. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 8 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.