Provider Demographics
NPI:1346571809
Name:OZDER DENTAL CORPORATION
Entity Type:Organization
Organization Name:OZDER DENTAL CORPORATION
Other - Org Name:OCEAN DENTAL GROUP
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DDS
Authorized Official - Prefix:
Authorized Official - First Name:REYHAN
Authorized Official - Middle Name:
Authorized Official - Last Name:AKPINAR
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:559-255-1122
Mailing Address - Street 1:5555 E KINGS CANYON RD
Mailing Address - Street 2:SUITE # 101
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93727-4528
Mailing Address - Country:US
Mailing Address - Phone:559-255-1122
Mailing Address - Fax:559-251-1141
Practice Address - Street 1:5555 E KINGS CANYON RD
Practice Address - Street 2:SUITE # 101
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93727-4528
Practice Address - Country:US
Practice Address - Phone:559-255-1122
Practice Address - Fax:559-251-1141
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-01-22
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA556481223G0001X
CA524461223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty