Kerry John Shimizu in Huntington Beach - Dentist
Kerry John Shimizu - NPI 1407040975
Kerry John Shimizu is a Dentist in Huntington Beach, California. Kerry John Shimizu practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kerry John Shimizu is 1407040975. The last update date is 2007-08-28.
Kerry John Shimizu's current location address is 5112 Warner Avenue, Huntington Beach, California. You can contact this provider via phone number 7148461354 and fax number 7148460565. The mailing address for Kerry John Shimizu is 5112 Warner Avenue, Huntington Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kerry John Shimizu |
|---|---|
| Address | 5112 Warner Avenue, Huntington Beach, California |
| Phone Number | 7148461354 |
| Fax Number | 7148460565 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1407040975 |
|---|---|
| Provider Enumeration Date | 2007-08-28 |
| Last Updated Date | 2007-08-28 |
Provider Mailing Address Detail
| Address | 5112 Warner Avenue |
|---|---|
| City | Huntington Beach |
| State | California (CA) |
| Post Code | 92649 |
| Phone Number | 7148461354 |
| Fax Number | 7148460565 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | DZ35027 |
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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 Kerry John Shimizu?
The Kerry John Shimizu has been issued the NPI (National Provider Identifier) 1407040975 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Kerry John Shimizu located?
The Kerry John Shimizu is located at 5112 Warner Avenue, Huntington Beach, CA 92649.
What is Kerry John Shimizu's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kerry John Shimizu's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1407040975 to Kerry John Shimizu?
The Centers for Medicare & Medicaid Services assigned the 1407040975 to Kerry John Shimizu on 2007-08-28.
When was the Kerry John Shimizu's information last updated?
The Kerry John Shimizu's information was last updated on 2007-08-28.
NPI Number: 1720081763
Address: 675 E Highway 60, Hardinsburg, KY