Maya Eydelman in San Bruno - Dentist

Maya Eydelman - NPI 1558465880

Maya Eydelman is a Dentist in San Bruno, California. Maya Eydelman practices all healthcare services and medical treatments related to Dentist. The NPI Number for Maya Eydelman is 1558465880. The last update date is 2009-02-17.

Maya Eydelman's current location address is 3504 Bering Dr, San Bruno, California. You can contact this provider via phone number 3472562208. The mailing address for Maya Eydelman is 3504 Bering Dr, San Bruno, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Maya Eydelman
Address 3504 Bering Dr, San Bruno, California
Phone Number 3472562208
Fax Number
Sole Proprietor N
Credentials DMD

NPI Number Detail

NPI Number 1558465880
Provider Enumeration Date 2006-09-08
Last Updated Date 2009-02-17

Provider Mailing Address Detail

Address 3504 Bering Dr
City San Bruno
State California (CA)
Post Code 940664575
Phone Number 3472562208
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 49447
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
2289458 NY --

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FAQs about Maya Eydelman

What is the unique provider identifier assigned to Maya Eydelman?

The Maya Eydelman has been issued the NPI (National Provider Identifier) 1558465880 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete street address where Maya Eydelman is physically located?

The Maya Eydelman is physically situated at the following address: 3504 Bering Dr, San Bruno, CA, 940664575.

What is Maya Eydelman's specialized field of practice, and what is the corresponding taxonomy classification code?

The Maya Eydelman's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.

On what date did Maya Eydelman receive its 1558465880 assignment from the Centers for Medicare & Medicaid Services?

The Maya Eydelman was assigned its 1558465880 on 2006-09-08, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Maya Eydelman most recently updated or revised?

The details related to Maya Eydelman, including its address, specialty, and other relevant information, were last updated or revised on 2009-02-17.

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