# NEWPORT ENDODONTIC GROUP

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1366572679
- **Authorized official:** DR. JOHN BUONCRISTIANI (PARTNER)
- **Authorized official phone:** (949) 644-0595

## Contact information

- **Practice address:** 1441 AVOCADO AVE STE 401, NEWPORT BEACH, CA 92660-7705
- **Practice address phone:** (949) 644-0595
- **Practice address fax:** (949) 644-5082
- **Mailing address:** 1441 AVOCADO AVE STE 401, NEWPORT BEACH, CA 92660-7705
- **Mailing address phone:** (949) 644-0595
- **Mailing address fax:** (949) 644-5082

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 1223E0200X | Endodontics | — | CA | Yes |

## Other

- **Enumeration date:** 03/06/2007
- **Last updated:** 08/22/2020