Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Fedor Dental Corporation

Organization Dentist · NPI 1871071795

Fedor Dental Corporation provides Dentist services in San Diego, California. Registered with an NPI since 2018.

In the registry since
2018

Practice location Address checks out

3268 Greyling Dr
San Diego, CA 92123
Phone: (858) 617-0620
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X

Record details

NPI number1871071795
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Grace Fedor — Owner · (858) 617-0620
Other names Serra Mesa Modern Dentistry Dental Group
NPI enumeratedAugust 2, 2018
Last updated in NPPESMarch 8, 2022
Certification dateMarch 8, 2022
Mailing addressPo Box 920050, Dallas, TX 75392-0050

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