Provider Demographics
NPI:1811277759
Name:NECDET OZDER DENTAL PC
Entity type:Organization
Organization Name:NECDET OZDER DENTAL PC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:NECDET
Authorized Official - Middle Name:
Authorized Official - Last Name:OZDER
Authorized Official - Suffix:
Authorized Official - Credentials:DDS
Authorized Official - Phone:661-202-0454
Mailing Address - Street 1:7015 N CHESTNUT AVE STE 104
Mailing Address - Street 2:
Mailing Address - City:FRESNO
Mailing Address - State:CA
Mailing Address - Zip Code:93720-0349
Mailing Address - Country:US
Mailing Address - Phone:559-475-0357
Mailing Address - Fax:559-475-0389
Practice Address - Street 1:7015 N CHESTNUT AVE STE 104
Practice Address - Street 2:
Practice Address - City:FRESNO
Practice Address - State:CA
Practice Address - Zip Code:93720-0349
Practice Address - Country:US
Practice Address - Phone:559-475-0357
Practice Address - Fax:559-475-0389
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-08-24
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA53844122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes122300000XDental ProvidersDentistGroup - Single Specialty