Southridge Dental Group in Fontana - Dentist
Southridge Dental Group - NPI 1497924997
Southridge Dental Group is a Dentist in Fontana, California. Southridge Dental Group practices all healthcare services and medical treatments related to Dentist. The NPI Number for Southridge Dental Group is 1497924997. The last update date is 2008-02-28.
Southridge Dental Group's current location address is 14050 Cherry Ave, Fontana, California. You can contact this provider via phone number 9098229090 and fax number 9098229094. The mailing address for Southridge Dental Group is 14050 Cherry Ave, Fontana, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Southridge Dental Group |
|---|---|
| Address | 14050 Cherry Ave, Fontana, California |
| Phone Number | 9098229090 |
| Fax Number | 9098229094 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Glassman Howard |
| Telephone Number | 9098229090 |
NPI Number Detail
| NPI Number | 1497924997 |
|---|---|
| Provider Enumeration Date | 2008-02-28 |
| Last Updated Date | 2008-02-28 |
Provider Mailing Address Detail
| Address | 14050 Cherry Ave |
|---|---|
| City | Fontana |
| State | California (CA) |
| Post Code | 923370766 |
| Phone Number | 9098229090 |
| Fax Number | 9098229094 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 24452 |
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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 Southridge Dental Group's 1497924997?
The Southridge Dental Group's NPI (National Provider Identifier) Number is 1497924997. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Southridge Dental Group located?
The Southridge Dental Group is located at 14050 Cherry Ave, Fontana, CA 923370766.
What is the Southridge Dental Group's area of specialization and corresponding taxonomy classification?
The Southridge Dental Group's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Southridge Dental Group receive its 1497924997?
The Southridge Dental Group was issued its 1497924997 on 2008-02-28, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Southridge Dental Group most recently updated or revised?
The information pertaining to Southridge Dental Group, including its address, specialty, and other relevant details, was last updated or revised on 2008-02-28.