DR. ERIC A PROUTY


Address: 3151 Airway Ave, Suite M2, Costa Mesa, CA 92626-4607
Phone: 7146689811

DR. ERIC A PROUTY (NPI# 1609836469) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1609836469
Entity Type Individual
Full Name DR. ERIC A PROUTY
Credential D.M.D.
Practice Address 3151 Airway Ave
Suite M2
Costa Mesa
CA 92626-4607
Mailing Address 2 Cuervo Dr
Aliso Viejo
CA 92656-1742
Practice Telephone 7146689811
Practice Fax Number 7146689811
Mailing Telephone 9498373593
Enumeration Date 2006-03-24
Last Update Date 2008-03-28
Gender Code M
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223G0001X Dentist
Specialization: General Practice
32651 CA Dental Providers

Other Providers ERIC PROUTY

NPI Name Taxonomy Address Enumeration
1770110660 Eric William Prouty Student in an Organized Health Care Education/Training Program 701 W Pratt St Rm 474, Baltimore, MD 21201-1023 2020-03-23

Office Location

Street Address 3151 AIRWAY AVE
SUITE M2
City COSTA MESA
State CA
Zip Code 92626-4607

Providers in the same location

NPI Name Taxonomy Address Enumeration
1609342567 Chris Maa Acupuncturist 3151 Airway Ave, Costa Mesa, CA 92626-4607 2018-10-18
1518319946 Alisa Gardner Social Worker 3151 Airway Ave, T2, Costa Mesa, CA 92626-4607 2016-07-09
1821449141 Nicole Krakora Naturopath 3151 Airway Ave, Suite U-3, Costa Mesa, CA 92626-4607 2016-06-28
1841646809 Charles Fagenholz Chiropractor 3151 Airway Ave, U-3, Costa Mesa, CA 92626-4607 2016-05-09
1275997058 Scbh Laboratory, LLC Clinical Medical Laboratory 3151 Airway Ave, Suite N-1, Costa Mesa, CA 92626-4607 2016-04-07
1215392816 Hpr Laboratories Clinical Medical Laboratory 3151 Airway Ave, Unit G1, Costa Mesa, CA 92626-4607 2015-12-23
1134592249 Robin Giesen Marriage & Family Therapist 3151 Airway Ave, Ste. T-3, Costa Mesa, CA 92626-4607 2015-11-11
1194194860 Samuel T. Enterprise Counselor 3151 Airway Ave, Suite D2, Costa Mesa, CA 92626-4607 2015-09-23
1740664614 Clint Johnson Counselor 3151 Airway Ave, D-1, Costa Mesa, CA 92626-4607 2015-07-10
1699158162 Richard Plaskett Counselor 3151 Airway Ave, D-1, Costa Mesa, CA 92626 2015-07-02
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1215536982 Sergio Gutierrez Behavior Technician 3303 Harbor Blvd., Suite B8, Costa Mesa, CA 92626 2020-10-22
1780201848 Kelly Chauvet Behavior Technician 1503 Nutmeg Place Suite 110, Costa Mesa, CA 92626 2020-07-06
1316564610 Timo Rosa Behavior Technician 1503 Nutmeg Place, Suite 110, Costa Mesa, CA 92626 2020-07-02
1255966115 Dalia A Sehweil Behavior Technician 1111 Baker, Costa Mesa, CA 92626 2020-03-11
1265071096 Austin Stotelmyre Behavior Technician 1111 Baker St Costa Mesa 92626, Costa Mesa, CA 92626 2019-12-26
1396383022 The Open Table Community/Behavioral Health 151 Kalmus Dr. Bldg C, Suite 100, Costa Mesa, CA 92626 2019-12-12
1851933550 Jennifer Rivera Behavior Technician 1111 Baker St. Unit #a, Costa Mesa, CA 92626 2019-10-14
1962053595 Peter Na Behavior Technician Behavior Functions 3303 Harbor Blvd, Ste B8, Costa Mesa, CA 92626 2019-09-25
1346897147 Jennifer Lopez Behavior Technician 555 Alton Blvd Suite 150, Costa Mesa, CA 92626 2019-08-26
1679134084 Danny Garcia Chiropractic, PC Chiropractor 1503 South Coast Drive, Suite 319, Costa Mesa, CA 92626 2019-06-26
Find all providers in zip 92626

Taxonomy Information

Taxonomy Code 1223G0001X
Grouping Dental Providers
Classification Dentist
Specialization General Practice

Taxonomy Definition

A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Notes: Source: Academy of General Dentistry

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1841705746 Timothy Joseph Rolfes Dentist 1530 Baker St #j, Costa Mesa, CA 92626-3752 2017-12-13
1366962334 Guadalupe A. Mejia Dental Corp. Dentist 700 W 19th St., Suite C, Costa Mesa, CA 92627 2017-06-21
1255880928 Karen Pingyao Yeh Dentist 1545 Baker St, Costa Mesa, CA 92626-3731 2016-09-22
1548642846 De Leon Dentistry General & Cosmestic Dentist 1942 Harbor Blvd., Costa Mesa, CA 92627 2015-06-23
1689068884 M. Zakhary Dds, Inc. Dentist 488 E 17th St, 101a, Costa Mesa, CA 92627-3250 2015-03-25
1467716035 Julianne Shaw Dentist 1831 Orange Ave Ste D, Costa Mesa, CA 92627-2839 2012-06-28
1487913471 Matt G. Farzin Dds, Inc Dentist 2969 Harbor Blvd., Costa Mesa, CA 92626 2012-05-10
1558631234 Sandra Y Rodriguez Dentist 2700 Peterson Pl, Unit 49b, Costa Mesa, CA 92626-5300 2012-01-11
1932485299 Annie Van Anh Nguyen Dentist 3105 Monroe Way, Costa Mesa, CA 92626-2826 2011-10-31
1730463662 Douglas W Lim Dentist 728 West 19th St., Suite B, Costa Mesa, CA 92627-6148 2011-10-11
Find all providers in COSTA MESA

Competitor

Search similar providers

City COSTA MESA
Zip Code 92626

Improve Information

Please comment or provide details below to improve the information on DR. ERIC A PROUTY.

Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

Trending Searches