OrganizationActive
Clint Walker Dental Corporation
NPI 1790273829 · Dentist · Costa Mesa, CA
Clint Walker Dental Corporation is a Dentist organization in Costa Mesa, CA (NPI 1790273829).
Provider details
- NPI number
- 1790273829
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Clint Walker, Owner(714) 224-0480
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(68/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
270 E 17th St Ste 15
Costa Mesa, CA 92627-3845
Phone: (714) 224-0480
Fax: (714) 224-0480
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- 17th Street Modern Dentistry Dental Group
Registry dates
- Enumerated
- 2018-04-24
- Last updated
- 2022-05-11
- Certified
- 2022-05-11
Frequently asked questions
- What is Clint Walker Dental Corporation's NPI number?
- Clint Walker Dental Corporation's National Provider Identifier (NPI) is 1790273829, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Clint Walker Dental Corporation?
- Clint Walker Dental Corporation is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Clint Walker Dental Corporation located?
- Clint Walker Dental Corporation's practice location on file with NPPES is 270 E 17th St Ste 15, Costa Mesa, CA 92627-3845.
- What is Clint Walker Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Clint Walker Dental Corporation is (714) 224-0480.
- Who is the authorized official for Clint Walker Dental Corporation?
- The authorized official listed on Clint Walker Dental Corporation's NPPES record is Clint Walker, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Clint Walker Dental Corporation's NPI active?
- Yes — Clint Walker Dental Corporation's NPI (1790273829) is active in the NPPES registry as of the last update on 2022-05-11.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.