Eric A. Prouty, D.M.D.

General Practice Dentistry · Costa Mesa, CA

Individual Active NPI

NPI number 1609836469

Practice location

3151 Airway Ave
Suite M2
Costa Mesa, CA 92626-4607
Phone
(714) 668-9811
Fax
(714) 668-9811

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NPI record

NPI
1609836469
Entity type
Individual (Type 1)
Enumeration date
March 24, 2006
Last updated
March 28, 2008
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 32651 CA

Mailing address

2 Cuervo Dr
Aliso Viejo, CA 92656-1742
Phone
(949) 837-3593

About Dr. Prouty

Eric A. Prouty, D.M.D. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 3151 Airway Ave, Suite M2, Costa Mesa, CA 92626-4607. The NPI number 1609836469 was assigned on March 24, 2006 and the record was last updated on March 28, 2008.

Dr. Prouty lists a license in the registry: #32651 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Eric A. Prouty, D.M.D.?

The NPI number is 1609836469.

What is the phone number of Dr. Prouty?

The phone number listed for the practice location is (714) 668-9811.

Where is Dr. Prouty located?

3151 Airway Ave, Suite M2, Costa Mesa, CA 92626-4607.

What is the taxonomy code for Dr. Prouty?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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