NPI: 1700962347
Provider Name: CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP, INC.
Former Legal Business Name: MOODY, CUMMINGS, BALASANIAN & CAPUTO, DDS, INC.
Classification: Dentist - 1223S0112X
Entity Type: Organization
Specialization: Oral and Maxillofacial Surgery
Address:
26302 LA PAZ RD
SUITE 102
MISSION VIEJO, CA
ZIP 92691
Phone: (949) 596-7000
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CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP, INC. is an oral and maxillofacial surgery dentist in Mission Viejo, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. CUMMINGS, BALASANIAN, CAPUTO & NICHOLLS DENTAL GROUP, INC. NPI is 1700962347. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Former Legal Business Name Is Moody, Cummings, Balasanian & Caputo, Dds, Inc..
The provider's business location address is:
26302 LA PAZ RD
SUITE 102
MISSION VIEJO, CA
ZIP 92691-313
Phone: (949) 596-7000
Fax: (949) 586-0158
The provider's authorized official is David Raymond Cummings .
The authorized official title is Owner and has the following contact phone number (949) 760-1600.
The enumeration date for this NPI number is 10/27/2006 and was last updated on 5/12/2020.