Provider Demographics
NPI:1003836628
Name:TURK, GERALD M (DDS)
Entity Type:Individual
Prefix:DR
First Name:GERALD
Middle Name:M
Last Name:TURK
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1122 E LINCOLN AVE STE 208
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92865-1909
Mailing Address - Country:US
Mailing Address - Phone:714-921-2110
Mailing Address - Fax:714-974-0442
Practice Address - Street 1:1122 E LINCOLN AVE STE 208
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92865-1909
Practice Address - Country:US
Practice Address - Phone:714-921-2110
Practice Address - Fax:714-974-0442
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-19
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA219581223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice