Jebcob is a Dentist in Ontario, California. Jebcob practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jebcob is 1255470803. The last update date is 2007-07-10.
Jebcob's current location address is 527 N Palm Ave Ste 106, Ontario, California. You can contact this provider via phone number 9099843618 and fax number 9099849479. The mailing address for Jebcob is 527 N Palm Ave Ste 106, Ontario, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jebcob |
|---|---|
| Address | 527 N Palm Ave Ste 106, Ontario, California |
| Phone Number | 9099843618 |
| Fax Number | 9099849479 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Esparza Oscar |
| Credentials | D.D.S. |
| Telephone Number | 9099843618 |
NPI Number Detail
| NPI Number | 1255470803 |
|---|---|
| Provider Enumeration Date | 2007-02-06 |
| Last Updated Date | 2007-07-10 |
Provider Mailing Address Detail
| Address | 527 N Palm Ave Ste 106 |
|---|---|
| City | Ontario |
| State | California (CA) |
| Post Code | 917623215 |
| Phone Number | 9099843618 |
| Fax Number | 9099849479 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 45252 |
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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 |
|---|---|---|---|
| 10442-1 | CA | BLUE SHIELD | |
| D45252--01 | CA | -- | |
| 828309 | CA | UNITED CONCORDIA | |
| B41648-01 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Jebcob?
The Jebcob has been issued the NPI (National Provider Identifier) 1255470803 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Jebcob's physical address?
The Jebcob is physically located at 527 N Palm Ave Ste 106, in the city of Ontario, CA, with the postal code 917623215.
What is the Jebcob's specialty and taxonomy code?
The Jebcob's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
On what date did the Jebcob receive the assignment of its 1255470803 from the Centers for Medicare & Medicaid Services?
The Jebcob was issued its 1255470803 by the Centers for Medicare & Medicaid Services on 2007-02-06.
As of what date were the details related to Jebcob most recently updated or revised?
The information pertaining to Jebcob, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-10.