| Friendly Smile Dental | |
|
1521 N Broadway Santa Ana CA 92706-3906 | |
| (714) 972-2801 | |
| Not Available |
| Full Name | Friendly Smile Dental |
|---|---|
| Speciality | Clinic/Center |
| Location | 1521 N Broadway, Santa Ana, California |
| Authorized Official Name and Position | John Parkhur (DMD) |
| Authorized Official Contact | 7149722801 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Friendly Smile Dental 1521 N Broadway Santa Ana CA 92706-3906 Ph: (714) 972-2801 | Friendly Smile Dental 1521 N Broadway Santa Ana CA 92706-3906 Ph: (714) 972-2801 |
| NPI Number | 1316325871 |
|---|---|
| Provider Enumeration Date | 05/15/2015 |
| Last Update Date | 07/08/2021 |
| Medicare PECOS PAC ID | 5799069241 |
|---|---|
| Medicare Enrollment ID | O20170228001375 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1316325871 | NPI | - | NPPES |
| Provider Name | John Parkhur |
|---|---|
| Provider Type | Practitioner - Oral Surgery |
| Provider Identifiers | NPI Number: 1255411450 PECOS PAC ID: 6709172828 Enrollment ID: I20170726001720 |
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