Douglas R Halloran Dds Inc in Fresno - Dentist

Douglas R Halloran Dds Inc - NPI 1386631349

Douglas R Halloran Dds Inc is a Dentist in Fresno, California. Douglas R Halloran Dds Inc practices all healthcare services and medical treatments related to Dentist. The NPI Number for Douglas R Halloran Dds Inc is 1386631349. The last update date is 2020-08-22.

Douglas R Halloran Dds Inc's current location address is 1100 W Shaw Ave, Fresno, California. You can contact this provider via phone number 5592249925 and fax number 5592244478. The mailing address for Douglas R Halloran Dds Inc is 1100 W Shaw Ave, Fresno, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Douglas R Halloran Dds Inc
Address 1100 W Shaw Ave, Fresno, California
Phone Number 5592249925
Fax Number 5592244478
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PRESIDENT
Authorized Official Name Halloran Ray Douglas
Credentials DDS
Telephone Number 5592249925

NPI Number Detail

NPI Number 1386631349
Provider Enumeration Date 2005-10-04
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1100 W Shaw Ave
City Fresno
State California (CA)
Post Code 937113708
Phone Number 5592249925
Fax Number 5592244478

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 43532
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B43532 01 CA DENTI CAL

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FAQs about Douglas R Halloran Dds Inc

What is the Douglas R Halloran Dds Inc's 1386631349?

The Douglas R Halloran Dds Inc's NPI (National Provider Identifier) Number is 1386631349. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Douglas R Halloran Dds Inc's facilities are situated?

The facilities of Douglas R Halloran Dds Inc are physically located at the following address: 1100 W Shaw Ave, Fresno, CA, 937113708.

What is the Douglas R Halloran Dds Inc's specialty and taxonomy code?

The Douglas R Halloran Dds Inc's specialty is Dentist, and the corresponding taxonomy code is 122300000X.

When did Douglas R Halloran Dds Inc receive its 1386631349 assignment?

The Douglas R Halloran Dds Inc was assigned its 1386631349 on 2005-10-04, which is the date when this unique identifier was issued to the organization.

When was the information regarding Douglas R Halloran Dds Inc, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Douglas R Halloran Dds Inc, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.

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