Nicholas Poblete, D.D.S., Inc. in Modesto - Dentist
Nicholas Poblete, D.D.S., Inc. - NPI 1336340165
Nicholas Poblete, D.D.S., Inc. is a Dentist in Modesto, California. Nicholas Poblete, D.D.S., Inc. practices all healthcare services and medical treatments related to Dentist. The NPI Number for Nicholas Poblete, D.D.S., Inc. is 1336340165. The last update date is 2011-09-07.
Nicholas Poblete, D.D.S., Inc.'s current location address is 1316 Coffee Rd, Modesto, California. You can contact this provider via phone number 2095216822 and fax number 2095210466. The mailing address for Nicholas Poblete, D.D.S., Inc. is 1316 Coffee Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Nicholas Poblete, D.D.S., Inc. |
|---|---|
| Address | 1316 Coffee Rd, Modesto, California |
| Phone Number | 2095216822 |
| Fax Number | 2095210466 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Poblete Ellis Nicholas |
| Credentials | D.D.S. |
| Telephone Number | 2095216822 |
NPI Number Detail
| NPI Number | 1336340165 |
|---|---|
| Provider Enumeration Date | 2007-05-30 |
| Last Updated Date | 2011-09-07 |
Provider Mailing Address Detail
| Address | 1316 Coffee Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953553191 |
| Phone Number | 2095216822 |
| Fax Number | 2095210466 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 49190 |
|
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 |
|
Post Comment/ Review Below
What is the unique identifier code issued to Nicholas Poblete, D.D.S., Inc. by the Centers for Medicare & Medicaid Services?
The Nicholas Poblete, D.D.S., Inc. has been assigned the NPI (National Provider Identifier) 1336340165. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Nicholas Poblete, D.D.S., Inc.'s physical address?
The Nicholas Poblete, D.D.S., Inc. is physically located at 1316 Coffee Rd, in the city of Modesto, CA, with the postal code 953553191.
What is the Nicholas Poblete, D.D.S., Inc.'s specialty and taxonomy code?
The Nicholas Poblete, D.D.S., Inc.'s specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1336340165 to Nicholas Poblete, D.D.S., Inc.?
The Centers for Medicare & Medicaid Services originally issued the 1336340165 to Nicholas Poblete, D.D.S., Inc. on 2007-05-30.
As of what date were the Nicholas Poblete, D.D.S., Inc.'s details last updated?
The information pertaining to the Nicholas Poblete, D.D.S., Inc., including its address, specialty, and other details, was most recently updated on 2011-09-07.
NPI Number: 1669475885
Address: 1005 Midwestern Pkwy, Wichita Falls, TX
NPI Number: 1285637785
Address: 101 Deer Run Rd, Elgin, SC