OrganizationActive
Brian K. Hutto, DMD, Inc.
NPI 1053974196 · Oral and Maxillofacial Surgery Clinic/Center · Modesto, CA
Provider details
- NPI number
- 1053974196
- Entity type
- Organization
- Primary specialty
- Oral and Maxillofacial Surgery Clinic/CenterAmbulatory Health Care Facilities
- Authorized official
- Brian Hutto, President
Practice location
2301 St Pauls Way
Modesto, CA 95355-3309
Phone: (209) 522-5238
Fax: (209) 522-4703
Mailing address
1213 Coffee Rd Ste D
Modesto, CA 95355-4229
Registry dates
- Enumerated
- 2019-04-15
- Last updated
- 2024-02-04
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.