# FOULADI PROFESSIONAL DENTAL CORP.

> Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days. [Update your NPPES record](https://nppes.cms.hhs.gov)

- **Entity:** Organization
- **Status:** Active
- **Parent organization:** FOULADI PROFESSIONAL DENTAL CORP.
- **Other names:** Sacramento Oral Surgery Midtown
- **Organization subpart:** Yes

## Provider details

- **NPI number:** 1003533985
- **Legal business name:** FOULADI PROFESSIONAL DENTAL CORP.
- **Authorized official:** CELIA HAYES (CREDENTIALING COORDINATOR)
- **Authorized official phone:** (217) 540-2100

## Contact information

- **Practice address:** 2503 K ST, SACRAMENTO, CA 95816-5101
- **Practice address phone:** (916) 448-4500
- **Practice address fax:** (916) 448-2322
- **Mailing address:** 2503 K ST, SACRAMENTO, CA 95816-5101
- **Mailing address phone:** (916) 448-4500
- **Mailing address fax:** (916) 448-2322

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | NULL | Yes |
| 1223S0112X | Oral and Maxillofacial Surgery (Dentist) | — | — | Yes |

## Other

- **Enumeration date:** 10/21/2022
- **Last updated:** 10/21/2022