Brandon Hung Phuong in San Carlos - Dentist
Brandon Hung Phuong - NPI 1417026840
Brandon Hung Phuong is a Dentist in San Carlos, California. Brandon Hung Phuong practices all healthcare services and medical treatments related to Dentist. The NPI Number for Brandon Hung Phuong is 1417026840. The last update date is 2007-07-08.
Brandon Hung Phuong's current location address is 796 El Camino Real Ste A, San Carlos, California. You can contact this provider via phone number 6505951906 and fax number 6505951905. The mailing address for Brandon Hung Phuong is 796 El Camino Real Ste A, San Carlos, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brandon Hung Phuong |
|---|---|
| Address | 796 El Camino Real Ste A, San Carlos, California |
| Phone Number | 6505951906 |
| Fax Number | 6505951905 |
| Sole Proprietor | Y |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1417026840 |
|---|---|
| Provider Enumeration Date | 2006-11-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 796 El Camino Real Ste A |
|---|---|
| City | San Carlos |
| State | California (CA) |
| Post Code | 940703169 |
| Phone Number | 6505951906 |
| Fax Number | 6505951905 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 46672 |
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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 identifier code assigned to Brandon Hung Phuong by the Centers for Medicare & Medicaid Services?
The Brandon Hung Phuong has been issued the NPI (National Provider Identifier) 1417026840 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Brandon Hung Phuong's physical address?
The Brandon Hung Phuong is physically located at 796 El Camino Real Ste A, in the city of San Carlos, CA, with the postal code 940703169.
What is Brandon Hung Phuong's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Brandon Hung Phuong is Dentist, and the taxonomy code that classifies this field of practice is 122300000X.
On what date did Brandon Hung Phuong receive its 1417026840 assignment from the Centers for Medicare & Medicaid Services?
The Brandon Hung Phuong was assigned its 1417026840 on 2006-11-07, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to Brandon Hung Phuong, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Brandon Hung Phuong, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.