Charles Craig Pelletier in Huntington Beach - Dentist
Charles Craig Pelletier - NPI 1174646194
Charles Craig Pelletier is a Dentist in Huntington Beach, California. Charles Craig Pelletier practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles Craig Pelletier is 1174646194. The last update date is 2007-07-08.
Charles Craig Pelletier's current location address is 6552 Bolsa Ave, Huntington Beach, California. You can contact this provider via phone number 7148978980 and fax number 7148976991. The mailing address for Charles Craig Pelletier is 6552 Bolsa Ave, Huntington Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Craig Pelletier |
|---|---|
| Address | 6552 Bolsa Ave, Huntington Beach, California |
| Phone Number | 7148978980 |
| Fax Number | 7148976991 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1174646194 |
|---|---|
| Provider Enumeration Date | 2007-04-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 6552 Bolsa Ave |
|---|---|
| City | Huntington Beach |
| State | California (CA) |
| Post Code | 926472622 |
| Phone Number | 7148978980 |
| Fax Number | 7148976991 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 30271 |
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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 unique provider identifier assigned to Charles Craig Pelletier?
The Charles Craig Pelletier has been issued the NPI (National Provider Identifier) 1174646194 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Charles Craig Pelletier's physical address?
The Charles Craig Pelletier is physically located at 6552 Bolsa Ave, in the city of Huntington Beach, CA, with the postal code 926472622.
What is Charles Craig Pelletier's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Charles Craig Pelletier is Dentist, and the corresponding taxonomy classification code for this specialized field is 122300000X.
On what date did the Charles Craig Pelletier receive its 1174646194 assignment from the Centers for Medicare & Medicaid Services?
The Charles Craig Pelletier was assigned its 1174646194 by the Centers for Medicare & Medicaid Services on 2007-04-06.
When was the information regarding Charles Craig Pelletier most recently updated?
The details pertaining to the Charles Craig Pelletier, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN