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

Dr. Eric A Prouty, DMD

Individual provider General Practice Dentistry · NPI 1609836469

Dr. Eric A Prouty, DMD is a General Practice Dentistry in Costa Mesa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

3151 Airway Ave Ste M2
Costa Mesa, CA 92626-4607
Phone: (714) 668-9811
Fax: (714) 668-9811
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 32651 (CA)

Record details

NPI number1609836469
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedMarch 24, 2006
Last updated in NPPESMarch 28, 2008
Mailing address2 Cuervo Dr, Aliso Viejo, CA 92656-1742

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