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FRUITVALE DENTAL GROUP
NPI 1750595567
Dentist in Oakland, CA

Active since May 10, 2007
1624 FRANKLIN ST, SUITE 1206, OAKLAND, CA 94612(510) 452-5555 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Fruitvale Dental Group NPPES

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

FRUITVALE DENTAL GROUP (NPI 1750595567) is a healthcare organization registered as a dentist in Oakland, California and active in the NPI registry since May 2007. The organization lists Richard H. Mogensen, President, as its authorized official.

NPPES Registry Identity

NPI1750595567
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameRICHARD H. MOGENSEN DDS APC
Location Address1624 FRANKLIN ST, SUITE 1206Oakland, CA 94612-2824
Mailing Address1624 Franklin St, Suite 1206Oakland, CA 94612-2824 · (510) 452-5555
Phone(510) 452-5555
Organization SubpartNo
Authorized OfficialRichard H. MogensenPresident · (510) 452-5555
Enumeration DateMay 10, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1750595567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · CA 21733
Definition
A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
1624 FRANKLIN ST, Oakland, CA 94612
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Other Names 1

Doing Business AsFruitvale Dental Group

Other Identifiers 1

MedicaidG92157-01CA

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Other Providers at the Same Location NPPES 15

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

DR. EVA RENEE BENDER DDS
Dentist (General Practice)
1624 FRANKLIN ST, SUITE 300
OAKLAND, CA 94612
Alameda County (510) 332-8968
DR. ROMEO REYES AQUINO DMD
Dentist
1624 FRANKLIN ST, SUITE 405
OAKLAND, CA 94612
Alameda County (510) 834-6511
LAWRENCE SHIH
Dentist (General Practice)
1624 FRANKLIN ST, SUITE 1010
OAKLAND, CA 94612
Alameda County (510) 451-7728
DR. PAUL JOHN CASALE D.D.S.
Dentist (General Practice)
1624 FRANKLIN ST, SUITE 300
OAKLAND, CA 94612
Alameda County (510) 893-2525
DR. TONG WOO LEE D.D.S.
Dentist (General Practice)
1624 FRANKLIN ST, SUITE 1005
OAKLAND, CA 94612
Alameda County (510) 272-0685
LAWRENCE SHIH, D.D.S., INC.
Dentist (General Practice)
1624 FRANKLIN ST, SUITE 1010
OAKLAND, CA 94612
Alameda County (510) 451-7728
DR. DRAAK DAVIS FAMILY DENTAL
Preferred Provider Organization
1624 FRANKLIN ST, SUITE 1206
OAKLAND, CA 94612
Alameda County (510) 465-5555
WINNIE LAM DDS
Dentist
1624 FRANKLIN ST, SUITE 615
OAKLAND, CA 94612
Alameda County (510) 451-7881

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 Richard H. Mogensen Dds Apc's NPI number?

The NPI number for Richard H. Mogensen Dds Apc is 1750595567. It was assigned to this organization in the NPPES registry on May 10, 2007. The provider is doing business as Fruitvale Dental Group.

Where is Richard H. Mogensen Dds Apc located?

Richard H. Mogensen Dds Apc is located at 1624 Franklin St Suite 1206, Oakland, CA 94612. The listed phone number is (510) 452-5555.

What is Richard H. Mogensen Dds Apc's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Richard H. Mogensen Dds Apc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.