Michael Jerry Mckim in Pleasanton - Dentist
Michael Jerry Mckim - NPI 1689600173
Michael Jerry Mckim is a Dentist in Pleasanton, California. Michael Jerry Mckim practices all healthcare services and medical treatments related to Dentist. The NPI Number for Michael Jerry Mckim is 1689600173. The last update date is 2007-07-08.
Michael Jerry Mckim's current location address is 1400 Santa Rita Rd, Pleasanton, California. You can contact this provider via phone number 9258462231 and fax number 9258468663. The mailing address for Michael Jerry Mckim is 1400 Santa Rita Rd, Pleasanton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Jerry Mckim |
|---|---|
| Address | 1400 Santa Rita Rd, Pleasanton, California |
| Phone Number | 9258462231 |
| Fax Number | 9258468663 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1689600173 |
|---|---|
| Provider Enumeration Date | 2006-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1400 Santa Rita Rd |
|---|---|
| City | Pleasanton |
| State | California (CA) |
| Post Code | 945665666 |
| Phone Number | 9258462231 |
| Fax Number | 9258468663 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 40678 |
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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 unique 10-digit identification code assigned to Michael Jerry Mckim by the Centers for Medicare & Medicaid Services?
The Michael Jerry Mckim has been issued the NPI (National Provider Identifier) 1689600173, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Michael Jerry Mckim's facilities are geographically located?
The facilities of Michael Jerry Mckim are physically situated at the following location: 1400 Santa Rita Rd, Pleasanton, CA, 945665666.
What is the area of specialization for Michael Jerry Mckim, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Jerry Mckim is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1689600173 to Michael Jerry Mckim?
The Centers for Medicare & Medicaid Services originally issued the 1689600173 to Michael Jerry Mckim on 2006-06-25.
When was the information related to Michael Jerry Mckim most recently updated or refreshed?
The details pertaining to the Michael Jerry Mckim, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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