| Alpha Dental Care | |
|
1966 E Chapman Ave Ste E Fullerton CA 92831-4142 | |
| (714) 725-7425 | |
| Not Available |
| Full Name | Alpha Dental Care |
|---|---|
| Speciality | Clinic/Center |
| Location | 1966 E Chapman Ave Ste E, Fullerton, California |
| Authorized Official Name and Position | Brian Ley (GENERAL DENTIST/OWNER) |
| Authorized Official Contact | 7147257425 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Alpha Dental Care 1966 E Chapman Ave Ste E Fullerton CA 92831-4142 Ph: (714) 725-7425 | Alpha Dental Care 1966 E Chapman Ave Ste E Fullerton CA 92831-4142 Ph: (714) 725-7425 |
| NPI Number | 1174831788 |
|---|---|
| Provider Enumeration Date | 09/16/2010 |
| Last Update Date | 01/28/2020 |
| Medicare PECOS PAC ID | 9335576636 |
|---|---|
| Medicare Enrollment ID | O20200226002330 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1174831788 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261QD0000X | Clinic/center - Dental | BT30033119 (California) | Primary |
| Provider Name | Brian Edward Ley |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1558552901 PECOS PAC ID: 0244667541 Enrollment ID: I20200226002413 |
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