Fruitvale Dental Group is a Dental Clinic in Oakland, California. It is located at 1624 Franklin St, Suite 1206, Oakland, CA and its contact number is 510-452-5555. The authorized person for Fruitvale Dental Group is Dr. Richard H. Mogensen
who is President of the clinic and their contact number is 510-452-5555. Other organizations associated with this clinic are Lawrence Shih, D.d.s., Inc., William Cox Dental Corporation, Richard H. Mogensen Dds Apc, The primary license number for Fruitvale Dental Group is CA 21733 (Dentist) in California. Fruitvale Dental Group Clinic have dental surgeons who are specialized in dentistry, diagnosis, prevention, and treatment of diseases and conditions of the oral cavity. The dentist's supporting team aids in providing oral health services. The dental team includes dental assistants, dental hygienists, dental technicians, and sometimes dental therapists.
Complete Clinic Profile:
Fruitvale Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Fruitvale Dental Group
Specialization:
Dentistry
Clinic Address:
1624 Franklin St, Suite 1206, Oakland, California, 94612-2824
Phone:
510-452-5555
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Dr. Richard H. Mogensen
Position:
President
Contact Number:
510-452-5555
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Fruitvale Dental Group clinic are as mentioned below.
NPI Number:
1750595567
NPI Enumeration Date:
10 May, 2007
NPI Last Update On:
22 Aug, 2020
Other Associated Organizations:
Other organizations which are associated with this clinic are as mentioned below. These organization share the same address but have similar or different specialization.
Speciality of these organizations are also mentioned below.
Name
Specialization
NPI Number
Lawrence Shih, D.d.s., Inc.
General Practice Dentistry
1336103670
William Cox Dental Corporation
Dentistry
1578505020
Richard H. Mogensen Dds Apc
Dentistry
1750595567
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Fruitvale Dental Group are as mentioned below.
Specialization
License Number
State
Status
Dentist
CA 21733
California
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
G92157-01
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Fruitvale Dental Group 1624 Franklin St, Suite 1206 Oakland, California
Zip:
94612-2824
Phone Number:
510-452-5555
Patients can reach Fruitvale Dental Group at 1624 Franklin St, Suite 1206, Oakland, California or can call to book an appointment on 510-452-5555. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.