Charles Albert Mattison in Inglewood - Dentist
Charles Albert Mattison - NPI 1003948563
Charles Albert Mattison is a Dentist in Inglewood, California. Charles Albert Mattison practices all healthcare services and medical treatments related to Dentist. The NPI Number for Charles Albert Mattison is 1003948563. The last update date is 2007-07-08.
Charles Albert Mattison's current location address is 933 Centinela Ave, Inglewood, California. You can contact this provider via phone number 3106774085 and fax number 3106771357. The mailing address for Charles Albert Mattison is 933 Centinela Ave, Inglewood, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Albert Mattison |
|---|---|
| Address | 933 Centinela Ave, Inglewood, California |
| Phone Number | 3106774085 |
| Fax Number | 3106771357 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1003948563 |
|---|---|
| Provider Enumeration Date | 2007-03-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 933 Centinela Ave |
|---|---|
| City | Inglewood |
| State | California (CA) |
| Post Code | 903021501 |
| Phone Number | 3106774085 |
| Fax Number | 3106771357 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 21034 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B21034 01 | CA | DENTICAL |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Charles Albert Mattison by the Centers for Medicare & Medicaid Services?
The Charles Albert Mattison has been assigned the NPI (National Provider Identifier) 1003948563 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical address where Charles Albert Mattison is geographically located?
The Charles Albert Mattison is physically situated at the following location: 933 Centinela Ave, Inglewood, CA, 903021501.
What is the area of specialization for Charles Albert Mattison, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Albert Mattison is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1003948563 to Charles Albert Mattison?
The Centers for Medicare & Medicaid Services originally issued the 1003948563 to Charles Albert Mattison on 2007-03-11.
As of what date was the information regarding Charles Albert Mattison, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Albert Mattison, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.