Theron Lane Vines is a Dentist in Redlands, California. Theron Lane Vines practices all healthcare services and medical treatments related to Dentist. The NPI Number for Theron Lane Vines is 1972517217. The last update date is 2007-07-08.
Theron Lane Vines's current location address is 303 Brookside Ave, Redlands, California. You can contact this provider via phone number 9097938837 and fax number 9093350497. The mailing address for Theron Lane Vines is 303 Brookside Ave, Redlands, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Theron Lane Vines |
|---|---|
| Address | 303 Brookside Ave, Redlands, California |
| Phone Number | 9097938837 |
| Fax Number | 9093350497 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1972517217 |
|---|---|
| Provider Enumeration Date | 2006-07-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 303 Brookside Ave |
|---|---|
| City | Redlands |
| State | California (CA) |
| Post Code | 923734607 |
| Phone Number | 9097938837 |
| Fax Number | 9093350497 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 34009 |
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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 Theron Lane Vines's unique identification number?
The Theron Lane Vines has been assigned the NPI (National Provider Identifier) Number 1972517217 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete street address where Theron Lane Vines is physically located?
The Theron Lane Vines is physically situated at the following address: 303 Brookside Ave, Redlands, CA, 923734607.
What is Theron Lane Vines's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Theron Lane Vines is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date was the 1972517217 assigned to Theron Lane Vines?
The Theron Lane Vines was issued its 1972517217 on 2006-07-29, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Theron Lane Vines most recently updated or refreshed?
The details pertaining to the Theron Lane Vines, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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