| Dr Marc Dentico-olin, DMD, MD | |
|
501 Washington St Ste 710, San Diego, CA 92103-2231 | |
| (619) 295-6774 | |
| (619) 295-6776 |
| Full Name | Dr Marc Dentico-olin |
|---|---|
| Gender | Male |
| Speciality | Oral Surgery |
| Experience | 14 Years |
| Location | 501 Washington St Ste 710, San Diego, California |
| Accepts Medicare Assignments | Yes. He accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance. |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629205174 | NPI | - | NPPES |
| Facility Name | Location | Facility Type |
|---|---|---|
| Sharp Memorial Hospital | San diego, CA | Hospital |
| Group Practice Name | Group PECOS PAC ID | No. of Members |
|---|---|---|
| On Call Specialists Medical Group Of San Diego Inc | 7911395231 | 145 |
| Emergency And Acute Care Medical Corporation | 9537108279 | 431 |
| Entity Name | Emergency and Acute Care Medical Corporation |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1437103942 PECOS PAC ID: 9537108279 Enrollment ID: O20050502000734 |
| Entity Name | On Call Specialists Medical Group of San Diego Inc |
|---|---|
| Entity Type | Part B Supplier - Clinic/group Practice |
| Entity Identifiers | NPI Number: 1962175836 PECOS PAC ID: 7911395231 Enrollment ID: O20211019001466 |
| Mailing Address | Practice Location Address |
|---|---|
| Dr Marc Dentico-olin, DMD, MD 501 Washington St Ste 710, San Diego, CA 92103-2231 Ph: (619) 295-6774 | Dr Marc Dentico-olin, DMD, MD 501 Washington St Ste 710, San Diego, CA 92103-2231 Ph: (619) 295-6774 |
Dr. Lam Chittaphong, DDS Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carroll Centre Rd, Suite #120, San Diego, CA 92126 Phone: 858-722-6332 Fax: 888-514-1239 |
Malieka Trinee Johnson, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4784 Muir Ave, San Diego, CA 92107 Phone: 619-518-9000 |
Dr. Keri Eileen Silva, D.D.S. Dentist Medicare: Medicare Enrolled Practice Location: 814 Morena Blvd Ste 202, San Diego, CA 92110 Phone: 619-294-3273 Fax: 619-294-7170 |
Jonathan Kim, DMD Dentist Medicare: Not Enrolled in Medicare Practice Location: 9888 Carmel Mountain Rd Ste B, San Diego, CA 92129 Phone: 858-780-8870 |
Ghassan Adnan Jabbar Jayyar, DMD Dentist Medicare: Medicare Enrolled Practice Location: 286 Euclid Ave Ste 201, San Diego, CA 92114 Phone: 619-263-6683 |
Dr. Hemamalini Srinivasan, DDS Dentist Medicare: Medicare Enrolled Practice Location: 4921a Clairemont Dr, San Diego, CA 92117 Phone: 858-272-7300 Fax: 858-272-3135 |
Dr. Stanley Lawrence Baquial, D.D.S. Dentist Medicare: Not Enrolled in Medicare Practice Location: 3737 Moraga Ave, Ste B309, San Diego, CA 92117 Phone: 858-581-3641 Fax: 858-581-6135 |