Provider Demographics
NPI:1396030300
Name:JON S. ORCHER, DDS, APC
Entity Type:Organization
Organization Name:JON S. ORCHER, DDS, APC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:JON
Authorized Official - Middle Name:STANLEY
Authorized Official - Last Name:ORCHER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:714-846-2839
Mailing Address - Street 1:16141 BOLSA CHICA ST
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92649-2457
Mailing Address - Country:US
Mailing Address - Phone:714-846-2839
Mailing Address - Fax:714-840-0477
Practice Address - Street 1:16141 BOLSA CHICA ST
Practice Address - Street 2:
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92649-2457
Practice Address - Country:US
Practice Address - Phone:714-846-2839
Practice Address - Fax:714-840-0477
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA465101223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1223G0001XDental ProvidersDentistGeneral PracticeGroup - Single Specialty