Elizabeth Ann Vantassell in Petaluma - Dentist
Elizabeth Ann Vantassell - NPI 1467443010
Elizabeth Ann Vantassell is a Dentist in Petaluma, California. Elizabeth Ann Vantassell practices all healthcare services and medical treatments related to Dentist. The NPI Number for Elizabeth Ann Vantassell is 1467443010. The last update date is 2016-12-28.
Elizabeth Ann Vantassell's current location address is 135 Keller St, Petaluma, California. You can contact this provider via phone number 7077786006 and fax number 7077781672. The mailing address for Elizabeth Ann Vantassell is 135 Keller St, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Elizabeth Ann Vantassell |
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Address | 135 Keller St, Petaluma, California |
Phone Number | 7077786006 |
Fax Number | 7077781672 |
Sole Proprietor | Y |
Credentials | DDS |
NPI Number Detail
NPI Number | 1467443010 |
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Provider Enumeration Date | 2005-11-02 |
Last Updated Date | 2016-12-28 |
Provider Mailing Address Detail
Address | 135 Keller St |
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City | Petaluma |
State | California (CA) |
Post Code | 949522943 |
Phone Number | 7077786006 |
Fax Number | 7077781672 |
Provider's Primary Taxonomy Detail
Speciality | Dentist |
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Taxonomy | 122300000X |
Licence No | CA 37765 |
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 unique 10-digit identifier code assigned to Elizabeth Ann Vantassell by the Centers for Medicare & Medicaid Services?
The Elizabeth Ann Vantassell has been issued the NPI (National Provider Identifier) 1467443010 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Elizabeth Ann Vantassell?
The Elizabeth Ann Vantassell is physically situated at 135 Keller St, in the city of Petaluma, state of CA, with the postal code 949522943.
What is the Elizabeth Ann Vantassell's area of specialization and corresponding taxonomy classification?
The Elizabeth Ann Vantassell's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Elizabeth Ann Vantassell receive its 1467443010?
The Elizabeth Ann Vantassell was issued its 1467443010 on 2005-11-02, which is the date when the organization was assigned this unique identifier.
As of what date were the Elizabeth Ann Vantassell's details last updated?
The information pertaining to the Elizabeth Ann Vantassell, including its address, specialty, and other details, was most recently updated on 2016-12-28.
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