Jack Tran is a Dentist in Ridgecrest, California. Jack Tran practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jack Tran is 1700056777. The last update date is 2008-03-06.
Jack Tran's current location address is 214 E California Ave, Ridgecrest, California. You can contact this provider via phone number 4084299666. The mailing address for Jack Tran is 214 E California Ave, Ridgecrest, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jack Tran |
|---|---|
| Address | 214 E California Ave, Ridgecrest, California |
| Phone Number | 4084299666 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1700056777 |
|---|---|
| Provider Enumeration Date | 2008-03-06 |
| Last Updated Date | 2008-03-06 |
Provider Mailing Address Detail
| Address | 214 E California Ave |
|---|---|
| City | Ridgecrest |
| State | California (CA) |
| Post Code | 935554103 |
| Phone Number | 4084299666 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 51524 |
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Definition: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: denti |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jack Tran by the Centers for Medicare & Medicaid Services?
The Jack Tran has been issued the NPI (National Provider Identifier) 1700056777, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Jack Tran's facilities are situated?
The facilities of Jack Tran are physically located at the following address: 214 E California Ave, Ridgecrest, CA, 935554103.
What is the Jack Tran's area of specialization and corresponding taxonomy classification?
The Jack Tran's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did the Jack Tran receive the assignment of its 1700056777 from the Centers for Medicare & Medicaid Services?
The Jack Tran was issued its 1700056777 by the Centers for Medicare & Medicaid Services on 2008-03-06.
As of what date were the details related to Jack Tran most recently updated or revised?
The information pertaining to Jack Tran, including its address, specialty, and other relevant details, was last updated or revised on 2008-03-06.