Thomas Eugene Gong in Rio Vista - Dentist

Thomas Eugene Gong - NPI 1063637262

Thomas Eugene Gong is a Dentist in Rio Vista, California. Thomas Eugene Gong practices all healthcare services and medical treatments related to Dentist. The NPI Number for Thomas Eugene Gong is 1063637262. The last update date is 2007-07-08.

Thomas Eugene Gong's current location address is 533 Main St, Rio Vista, California. You can contact this provider via phone number 7073744321. The mailing address for Thomas Eugene Gong is 533 Main St, Rio Vista, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Thomas Eugene Gong
Address 533 Main St, Rio Vista, California
Phone Number 7073744321
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1063637262
Provider Enumeration Date 2007-04-16
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 533 Main St
City Rio Vista
State California (CA)
Post Code 945711618
Phone Number 7073744321
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 33461
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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FAQs about Thomas Eugene Gong

What is the unique 10-digit identification code issued to Thomas Eugene Gong by the Centers for Medicare & Medicaid Services?

The Thomas Eugene Gong has been assigned the NPI (National Provider Identifier) 1063637262 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.

Can you provide the Thomas Eugene Gong's physical address?

The Thomas Eugene Gong is physically located at 533 Main St, in the city of Rio Vista, CA, with the postal code 945711618.

What is the area of specialization for Thomas Eugene Gong, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Thomas Eugene Gong is Dentist, and the corresponding taxonomy code that categorizes this area of expertise is 122300000X.

On what date did the Thomas Eugene Gong receive the assignment of its 1063637262 from the Centers for Medicare & Medicaid Services?

The Thomas Eugene Gong was issued its 1063637262 by the Centers for Medicare & Medicaid Services on 2007-04-16.

As of what date were the Thomas Eugene Gong's details last updated?

The information pertaining to the Thomas Eugene Gong, including its address, specialty, and other details, was most recently updated on 2007-07-08.

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