SERRA MESA MODERN DENTISTRY DENTAL GROUP - NPI 1871071795

Q: What is Fedor Dental Corporation's NPI number?

The NPI number for Fedor Dental Corporation is 1871071795. It was assigned to this organization in the NPPES registry on August 2, 2018. The provider is doing business as Serra Mesa Modern Dentistry Dental Group.

Q: What is Fedor Dental Corporation's specialty?

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

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About Serra Mesa Modern Dentistry Dental Group NPPES

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

SERRA MESA MODERN DENTISTRY DENTAL GROUP (NPI 1871071795) is a healthcare organization registered as a dentist in San Diego, California and active in the NPI registry since August 2018. The organization lists Grace C Fedor, Owner, as its authorized official.

NPPES Registry Identity

NPI1871071795

Entity TypeOrganization

Primary Taxonomy122300000X

Legal Business NameFEDOR DENTAL CORPORATION

Location Address3268 GREYLING DRSan Diego, CA 92123

Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8890 · Fax (303) 952-0892

Phone(858) 617-0620

Organization SubpartNo

Authorized OfficialGrace C FedorOwner · (858) 617-0620

Enumeration DateAugust 2, 2018

Last NPPES UpdateMarch 8, 20222 updates tracked since enumeration

NPPES CertifiedMarch 8, 2022

✔ NPI 1871071795 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

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.

3268 GREYLING DR, San Diego, CA 92123

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Other Names 1

Doing Business AsSerra Mesa Modern Dentistry Dental Group

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 5

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

KELSEY MCCURDY MURPHY DMD

Dentist (General Practice)