RICHARD A MANDEL, DDS INC
NPI 1720091630
Oral & Maxillofacial Surgery in Santa Ana, CA

Active since August 14, 2006
801 N TUSTIN AVE SUITE 705, SANTA ANA, CA 92705(714) 835-8873(714) 835-0402 Get Directions Write a Review

NPPES record last updated: December 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Oral & Maxillofacial Surgery

About RICHARD A MANDEL, DDS INC

This page provides the complete NPI Profile along with additional information for Richard A Mandel, Dds Inc, a provider established in Santa Ana, California operating as a Oral & Maxillofacial Surgery. The healthcare provider is registered in the NPI registry with number 1720091630 assigned on August 2006. The practitioner's primary taxonomy code is 204E00000X with license number 21384 (CA). The provider is registered as an organization and their NPI record was last updated 18 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Richard A Mandel Dds (Owner)

NPI
1720091630 Verify this NPI
Provider Name
RICHARD A MANDEL, DDS INC
Entity Type
Organization
Location Address
801 N TUSTIN AVE SUITE 705 SANTA ANA, CA 92705
Location Phone
(714) 835-8873
Location Fax
(714) 835-0402
Mailing Address
801 N TUSTIN AVE SUITE 705 SANTA ANA, CA 92705
Mailing Phone
(714) 835-8873
Mailing Fax
(714) 835-0402
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
08-14-2006
Last Update Date
12-11-2008
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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

Oral & Maxillofacial Surgery

Taxonomy Code
204E00000X
Type
Allopathic & Osteopathic Physicians
License No.
21384
License State
CA
Taxonomy Description
Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

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

RICHARD A MANDEL DDS

Authorized Official Title
OWNER
Authorized Official Phone
(714) 835-8873

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Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1720091630, enumerated as an "organization" on August 14, 2006.

The provider is located at 801 N TUSTIN AVE SUITE 705 SANTA ANA, CA 92705 and the phone number is (714) 835-8873.

Oral & Maxillofacial Surgery with taxonomy code 204E00000X.