Grace Dominica Dy Dds Inc - Medicare Dental Clinic in Orange, CA

Grace Dominica Dy Dds Inc is a medicare enrolled dental clinic (Dentist - General Practice) in Orange, California. The current practice location for Grace Dominica Dy Dds Inc is 2010 N Tustin St Ste A, Orange, California. For appointments, you can reach them via phone at (714) 282-0430. The mailing address for Grace Dominica Dy Dds Inc is 2010 N Tustin St Ste A, Orange, California and phone number is () -.

Grace Dominica Dy Dds Inc is licensed to practice in California (license number 56567). The clinic also participates in the medicare program and its NPI number is 1114282142. 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) 282-0430.

Contact Information

Grace Dominica Dy Dds Inc
2010 N Tustin St Ste A
Orange
CA 92865-3900
(714) 282-0430
Not Available

Dental Care Clinic Profile

Full NameGrace Dominica Dy Dds Inc
SpecialityDentist
Location2010 N Tustin St Ste A, Orange, California
Authorized Official Name and PositionGrace Dy (CEO)
Authorized Official Contact7142820430
Accepts Medicare InsuranceYes. This clinic participates in medicare program and accept medicare insurance.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Grace Dominica Dy Dds Inc
2010 N Tustin St Ste A
Orange
CA 92865-3900

Ph: () -
Grace Dominica Dy Dds Inc
2010 N Tustin St Ste A
Orange
CA 92865-3900

Ph: (714) 282-0430

NPI Details:

NPI Number1114282142
Provider Enumeration Date07/05/2012
Last Update Date07/05/2012

Medicare PECOS Information:

Medicare PECOS PAC ID8325371610
Medicare Enrollment IDO20190530002397

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Medical Identifiers

Medical identifiers for Grace Dominica Dy Dds Inc such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1114282142NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223G0001XDentist - General Practice 56567 (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. Grace Dominica Dy Dds Inc acts as a billing entity for following providers:
Provider NameGrace Noble Dy
Provider TypePractitioner - Oral Surgery
Provider IdentifiersNPI Number: 1235319344
PECOS PAC ID: 6305189697
Enrollment ID: I20190530002150

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Richard M. Gates, D.d.s., Inc.
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