TORREY PINES ORAL AND MAXILLOFACIAL SURGERY – NPI #1659753762
Oral & Maxillofacial Surgery

Oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery.

TORREY PINES ORAL AND MAXILLOFACIAL SURGERY is an oral & maxillofacial surgeon located in SAN DIEGO, CA. NPPES has assigned the NPI number 1659753762 to TORREY PINES ORAL AND MAXILLOFACIAL SURGERY on June 25, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. Since the name “TORREY PINES ORAL AND MAXILLOFACIAL SURGERY” is a dba name, the actual legal business name for this organization is T SIDAL DDS MD INC. With multiple taxonomy codes selected, the primary taxonomy selected by this provider is 204E00000X from the Health Care Provider Taxonomy code set, which is classified as Oral & Maxillofacial Surgery.

The NPI profile was previously updated about 11 years ago on Jun 26, 2015. Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for TORREY PINES ORAL AND MAXILLOFACIAL SURGERY below.

NPI Profile for
T SIDAL DDS MD INC

NPI Number
1659753762
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
T SIDAL DDS MD INC
Doing Business As (dba): TORREY PINES ORAL AND MAXILLOFACIAL SURGERY
Primary location
12395 EL CAMINO REAL, SUITE 304
TORREY PINES ORAL & MAXILLOFACIAL SURGERY
SAN DIEGO, CA 92130
Phone: (858) 793-3393 Fax:
Mailing address
Same as primary location
Organization Subpart
No
Authorized Official
TARKAN SIDAL
PRESIDENT
Phone: (312) 505-8656
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
204E00000X
- Oral & Maxillofacial Surgery (Primary)
CA A122601
1223S0112X
- Dentist / Oral and Maxillofacial Surgery
CA OMS 101

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.