Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Greater Modesto Dental Implant &oral Surgery Center

Organization Oral and Maxillofacial Surgery (Dentist) · NPI 1326468752

Greater Modesto Dental Implant &oral Surgery Center is an Oral and Maxillofacial Surgery (Dentist) in Modesto, California. Licensed in California. Registered with an NPI since 2014.

Licensed in
CA
In the registry since
2014
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Practice location Address checks out

201 E Orangeburg Ave Ste A
Modesto, CA 95350-5355
Phone: (209) 527-5050
Fax: (209) 527-0659
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery (Dentist) (primary) Taxonomy 1223S0112X · Licence 32447 (CA)

Record details

NPI number1326468752
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Victoria Bruno — Administrator · (209) 527-5050
NPI enumeratedApril 24, 2014
Last updated in NPPESJuly 1, 2016
Mailing address201 E Orangeburg Ave, Suite A, Modesto, CA 95350-5355

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