Jeffrie Maneepetasut in Los Angeles - Dentist

Jeffrie Maneepetasut - NPI 1972631059

Jeffrie Maneepetasut is a Dentist in Los Angeles, California. Jeffrie Maneepetasut practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jeffrie Maneepetasut is 1972631059. The last update date is 2013-04-22.

Jeffrie Maneepetasut's current location address is 4606 Hollywood Blvd, Los Angeles, California. You can contact this provider via phone number 6173125663. The mailing address for Jeffrie Maneepetasut is 4606 Hollywood Blvd, Los Angeles, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrie Maneepetasut
Address 4606 Hollywood Blvd, Los Angeles, California
Phone Number 6173125663
Fax Number
Sole Proprietor N
Credentials D.M.D

NPI Number Detail

NPI Number 1972631059
Provider Enumeration Date 2007-03-01
Last Updated Date 2013-04-22

Provider Mailing Address Detail

Address 4606 Hollywood Blvd
City Los Angeles
State California (CA)
Post Code 900275462
Phone Number 6173125663
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 53468
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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FAQs about Jeffrie Maneepetasut

What is the unique identifier code issued to Jeffrie Maneepetasut by the Centers for Medicare & Medicaid Services (CMS)?

The Jeffrie Maneepetasut has been assigned the NPI (National Provider Identifier) 1972631059. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you provide the complete physical address where Jeffrie Maneepetasut is located?

The Jeffrie Maneepetasut is situated at the following address: 4606 Hollywood Blvd, Los Angeles, CA, 900275462.

What is Jeffrie Maneepetasut's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Jeffrie Maneepetasut is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.

On what date did the Centers for Medicare & Medicaid Services assign the 1972631059 to Jeffrie Maneepetasut?

The Centers for Medicare & Medicaid Services assigned the 1972631059 to Jeffrie Maneepetasut on 2007-03-01.

When was the information regarding Jeffrie Maneepetasut, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Jeffrie Maneepetasut, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2013-04-22.

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