Enmer I Tadeo Dds Inc - Medicare Dental Clinic in Anaheim, CA

Enmer I Tadeo Dds Inc is a medicare enrolled dental clinic (Dentist) in Anaheim, California. The current practice location for Enmer I Tadeo Dds Inc is 2873 W Lincoln Ave, Anaheim, California. For appointments, you can reach them via phone at (714) 761-7000. The mailing address for Enmer I Tadeo Dds Inc is 2873 W Lincoln Ave, Anaheim, California and phone number is (714) 761-7000.

Enmer I Tadeo Dds Inc is licensed to practice in California (license number 56591). The clinic also participates in the medicare program and its NPI number is 1083038533. This medical practice accepts medicare insurance (which means this clinic accepts the Medicare-approved amount; you will not be billed for any more than the Medicare deductible and coinsurance). However, please confirm if they accept your insurance at (714) 761-7000.

Contact Information

Enmer I Tadeo Dds Inc
2873 W Lincoln Ave
Anaheim
CA 92801-6226
(714) 761-7000
(714) 761-3900

Dental Care Clinic Profile

Full NameEnmer I Tadeo Dds Inc
SpecialityDentist
Location2873 W Lincoln Ave, Anaheim, California
Authorized Official Name and PositionEnmer I Tadeo (PRESIDENT)
Authorized Official Contact7147617000
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Enmer I Tadeo Dds Inc
2873 W Lincoln Ave
Anaheim
CA 92801-6226

Ph: (714) 761-7000
Enmer I Tadeo Dds Inc
2873 W Lincoln Ave
Anaheim
CA 92801-6226

Ph: (714) 761-7000

NPI Details:

NPI Number1083038533
Provider Enumeration Date02/04/2014
Last Update Date01/31/2019

Medicare PECOS Information:

Medicare PECOS PAC ID7719224153
Medicare Enrollment IDO20190123003739

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Medical Identifiers

Medical identifiers for Enmer I Tadeo Dds Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1083038533NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
122300000XDentist 56591 (California)Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Enmer I Tadeo Dds Inc acts as a billing entity for following providers:
Provider NameEnmer I Tadeo
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1700066230
PECOS PAC ID: 3779820121
Enrollment ID: I20190201001323

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› Verified 4 days ago

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