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CENTER FOR IMPLANT DENTISTRY PRESTIGE DENTAL GROUP
NPI 1992314421
Dentist - Oral and Maxillofacial Surgery in Fremont, CA

Active since July 30, 2020
3381 WALNUT AVE, FREMONT, CA 94538(510) 574-0496(510) 574-0499 Get Directions Write a Review

NPPES record last updated: July 30, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Center For Implant Dentistry Prestige Dental Group NPPES

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

CENTER FOR IMPLANT DENTISTRY PRESTIGE DENTAL GROUP (NPI 1992314421) is a healthcare organization registered as an oral and maxillofacial surgery in Fremont, California and active in the NPI registry since July 2020. The organization lists Manuel Fuentes, Billing Manger, as its authorized official.

NPPES Registry Identity

NPI1992314421
Entity TypeOrganization
Primary Taxonomy1223S0112X
Legal Business NameCENTER FOR IMPLANT DENTISTRY PRESTIGE DENTAL GROUP
Location Address3381 WALNUT AVEFremont, CA 94538-2217
Mailing Address3381 Walnut AveFremont, CA 94538-2217 · (510) 574-0496 · Fax (510) 574-0499
Phone(510) 574-0496
Fax(510) 574-0499
Organization SubpartNo
Authorized OfficialManuel FuentesBilling Manger · (310) 870-9652
Enumeration DateJuly 30, 2020
NPPES CertifiedJuly 30, 2020
✔ NPI 1992314421 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Oral and Maxillofacial SurgeryDental Providers
Taxonomy Code1223S0112X
Definition

An oral and maxillofacial surgery dentist 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.

3381 WALNUT AVE, Fremont, CA 94538
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Frequently Asked Questions

What is CENTER FOR IMPLANT DENTISTRY PRESTIGE DENTAL GROUP's NPI number?

The NPI number assigned to this healthcare provider is 1992314421, enumerated as an "organization" on July 30, 2020.

Where is the provider located?

The provider is located at 3381 WALNUT AVE FREMONT, CA 94538 and the phone number is (510) 574-0496.

What is the provider's specialty?

Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.