OrganizationActive
Fedor Dental Corporation
NPI 1871071795 · Dentist · San Diego, CA
Fedor Dental Corporation is a Dentist organization in San Diego, CA (NPI 1871071795).
Provider details
- NPI number
- 1871071795
- Entity type
- Organization
- Primary specialty
- DentistDental Providers
- Organization subpart
- No
- Authorized official
- Grace Fedor, Owner(858) 617-0620
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
3268 Greyling Dr
San Diego, CA 92123
Phone: (858) 617-0620
Street-level locationGet directions
Mailing address
Po Box 920050
Dallas, TX 75392-0050
Other names (DBA / former)
- Doing business as
- Serra Mesa Modern Dentistry Dental Group
Registry dates
- Enumerated
- 2018-08-02
- Last updated
- 2022-03-08
- Certified
- 2022-03-08
Frequently asked questions
- What is Fedor Dental Corporation's NPI number?
- Fedor Dental Corporation's National Provider Identifier (NPI) is 1871071795, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Fedor Dental Corporation?
- Fedor Dental Corporation is classified in the NPPES registry as Dentist (Dental Providers).
- Where is Fedor Dental Corporation located?
- Fedor Dental Corporation's practice location on file with NPPES is 3268 Greyling Dr, San Diego, CA 92123.
- What is Fedor Dental Corporation's phone number?
- The practice phone number listed in the NPPES registry for Fedor Dental Corporation is (858) 617-0620.
- Who is the authorized official for Fedor Dental Corporation?
- The authorized official listed on Fedor Dental Corporation's NPPES record is Grace Fedor, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Fedor Dental Corporation's NPI active?
- Yes — Fedor Dental Corporation's NPI (1871071795) is active in the NPPES registry as of the last update on 2022-03-08.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.