David Thomas Fosdahl in Castro Valley - Dentist
David Thomas Fosdahl - NPI 1053460121
David Thomas Fosdahl is a Dentist in Castro Valley, California. David Thomas Fosdahl practices all healthcare services and medical treatments related to Dentist. The NPI Number for David Thomas Fosdahl is 1053460121. The last update date is 2007-07-08.
David Thomas Fosdahl's current location address is 20600 Lake Chabot Rd, Castro Valley, California. You can contact this provider via phone number 5105828399 and fax number 5105823564. The mailing address for David Thomas Fosdahl is 20600 Lake Chabot Rd, Castro Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David Thomas Fosdahl |
|---|---|
| Address | 20600 Lake Chabot Rd, Castro Valley, California |
| Phone Number | 5105828399 |
| Fax Number | 5105823564 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1053460121 |
|---|---|
| Provider Enumeration Date | 2007-01-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 20600 Lake Chabot Rd |
|---|---|
| City | Castro Valley |
| State | California (CA) |
| Post Code | 94546 |
| Phone Number | 5105828399 |
| Fax Number | 5105823564 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 31783 |
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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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What is the David Thomas Fosdahl's unique identification number?
The David Thomas Fosdahl has been assigned the NPI (National Provider Identifier) Number 1053460121 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the David Thomas Fosdahl's physical address?
The David Thomas Fosdahl is physically located at 20600 Lake Chabot Rd, in the city of Castro Valley, CA, with the postal code 94546.
What is David Thomas Fosdahl's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for David Thomas Fosdahl is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1053460121 to David Thomas Fosdahl?
The Centers for Medicare & Medicaid Services assigned the 1053460121 to David Thomas Fosdahl on 2007-01-09.
When was the information regarding David Thomas Fosdahl most recently updated?
The details pertaining to the David Thomas Fosdahl, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.