Image Dental Group is a Dentist in La Mesa, California. Image Dental Group practices all healthcare services and medical treatments related to Dentist. The NPI Number for Image Dental Group is 1659545374. The last update date is 2012-08-30.
Image Dental Group's current location address is 7557 El Cajon Blvd, La Mesa, California. You can contact this provider via phone number 6194694144 and fax number 6194694142. The mailing address for Image Dental Group is 7557 El Cajon Blvd, La Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Image Dental Group |
|---|---|
| Address | 7557 El Cajon Blvd, La Mesa, California |
| Phone Number | 6194694144 |
| Fax Number | 6194694142 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Patel Raman Prashant |
| Credentials | DDS |
| Telephone Number | 6194694144 |
NPI Number Detail
| NPI Number | 1659545374 |
|---|---|
| Provider Enumeration Date | 2008-04-14 |
| Last Updated Date | 2012-08-30 |
Provider Mailing Address Detail
| Address | 7557 El Cajon Blvd |
|---|---|
| City | La Mesa |
| State | California (CA) |
| Post Code | 919427823 |
| Phone Number | 6194694144 |
| Fax Number | 6194694142 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 51847 |
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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 Image Dental Group's unique identification number?
The Image Dental Group has been assigned the NPI (National Provider Identifier) Number 1659545374 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical location address where Image Dental Group's facilities are situated?
The facilities of Image Dental Group are physically located at the following address: 7557 El Cajon Blvd, La Mesa, CA, 919427823.
What is the Image Dental Group's specialty and taxonomy code?
The Image Dental Group's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1659545374 to Image Dental Group?
The Centers for Medicare & Medicaid Services originally issued the 1659545374 to Image Dental Group on 2008-04-14.
When was the information pertaining to Image Dental Group most recently updated or revised?
The details related to Image Dental Group, including its address, specialty, and other relevant information, were last updated or revised on 2012-08-30.
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