Active NPI 1609836469 Individual Practitioner Male Practitioner

Dr. Eric A Prouty , DMD

Dentist - General Practice • Costa Mesa, CA

Professional Overview & Biography Verified Profile Summary

Dr. Eric Prouty, DMD is a registered healthcare professional specializing in Dentist - General Practice in Costa Mesa, CA. Practice services are available at 3151 AIRWAY AVE under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

3151 Airway Ave
Suite M2

Costa Mesa, CA 926264607

Telephone 7146689811

Fax 7146689811

Associated Practice Facility / Clinic

🏢 Robert R Johnson Medical Corp Facility NPI 1811180318

Specialty Benchmarks & Practice Insights

Comparative analytics for Dentist - General Practice in Costa Mesa, CA

Active Practitioner

Practitioner Clinical Experience

Active

City Avg: 10.5 Yrs

State Avg: 21.7 Yrs

Regional Practice Density

68 Specialists

Practicing in Costa Mesa, CA (18734 Statewide)

Telehealth Adoption Rate

0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount

67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

Dentist - General Practice Primary Specialty

NUCC Taxonomy Code: 1223G0001X

State License CA 32651

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

1 Associated Practitioners

Dr. Brittany Foster , DMD

Dentist - General Practice

NPI 1467947440

Doctor of Dental Medicine

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events

✅

NPI Profile Active March 28, 2008

NPI status registered as active in NPPES database

📍

Updated Practice Location March 28, 2008

Registered at 3151 AIRWAY AVE, SUITE M2, COSTA MESA, CA 926264607 (Tel: 7146689811)

📍

Updated Business Mailing Address March 28, 2008

Registered at 2 CUERVO DR, ALISO VIEJO, CA 926561742 (Tel: 9498373593)

👤

Provider Name / Credentials Updated March 28, 2008

Recorded as ERIC PROUTY, D.M.D.

🎓

Medical Taxonomy / Specialty Registered (Primary Specialty) March 28, 2008

Dentist (License #32651 in CA)

🟢

Initial NPI Registration & Enumeration March 24, 2006

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1609836469

Entity Type:

Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)

Enumeration Date: March 24, 2006

Last Update: March 28, 2008

Sole Proprietor: Yes

Update or Correct Profile

Mailing Address

2 Cuervo Dr

Aliso Viejo, CA 926561742

Phone: 9498373593

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).

⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.