| Orange Sky Dental | |
|
1916 N Tustin St Orange CA 92865-4644 | |
| (714) 289-5009 | |
| Not Available |
| Full Name | Orange Sky Dental |
|---|---|
| Speciality | Dentist |
| Location | 1916 N Tustin St, Orange, California |
| Authorized Official Name and Position | Avani Sarvaiya (PRESIDENT) |
| Authorized Official Contact | 7142895009 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Orange Sky Dental 1916 N Tustin St Orange CA 92865-4644 Ph: (714) 289-5009 | Orange Sky Dental 1916 N Tustin St Orange CA 92865-4644 Ph: (714) 289-5009 |
| NPI Number | 1386184240 |
|---|---|
| Provider Enumeration Date | 02/27/2017 |
| Last Update Date | 07/08/2025 |
| Certification Date | 07/08/2025 |
| Medicare PECOS PAC ID | 3971008772 |
|---|---|
| Medicare Enrollment ID | O20250923003975 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386184240 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 56521 (California) | Primary |
| Provider Name | Avani Sarvaiya |
|---|---|
| Provider Type | Practitioner - Dentist |
| Provider Identifiers | NPI Number: 1053590067 PECOS PAC ID: 0143725945 Enrollment ID: I20250923004095 |
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