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

Walnut Creek-Danville Oral Surgery

Organization Oral and Maxillofacial Surgery Clinic/Center · NPI 1679878763

Walnut Creek-Danville Oral Surgery is an Oral and Maxillofacial Surgery Clinic/Center in Walnut Creek, California. Licensed in California. Registered with an NPI since 2011.

Licensed in
CA
In the registry since
2011
Specialties on file
2

Practice location Address checks out

1855 San Miguel Dr Ste 25
Walnut Creek, CA 94596-5279
Phone: (925) 934-5565
Fax: (925) 934-6003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Oral and Maxillofacial Surgery Clinic/Center (primary) Taxonomy 261QS0112X · Licence 30346 (CA)
Oral and Maxillofacial Surgery Clinic/Center Taxonomy 261QS0112X · Licence 37490 (CA)

Record details

NPI number1679878763
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Terri Matulovich — Office Manager · (925) 934-5565
NPI enumeratedJanuary 20, 2011
Last updated in NPPESJanuary 29, 2018
Mailing address1855 San Miguel Dr, Suite 25, Walnut Creek, CA 94596-5279

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