Jerold Fenton Alvarado in San Carlos - Dentist

Jerold Fenton Alvarado - NPI 1306975925

Jerold Fenton Alvarado is a Dentist in San Carlos, California. Jerold Fenton Alvarado practices all healthcare services and medical treatments related to Dentist. The NPI Number for Jerold Fenton Alvarado is 1306975925. The last update date is 2007-07-08.

Jerold Fenton Alvarado's current location address is 990 Laurel St, San Carlos, California. You can contact this provider via phone number 6505923433 and fax number 6505922601. The mailing address for Jerold Fenton Alvarado is 990 Laurel St, San Carlos, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jerold Fenton Alvarado
Address 990 Laurel St, San Carlos, California
Phone Number 6505923433
Fax Number 6505922601
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1306975925
Provider Enumeration Date 2007-03-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 990 Laurel St
City San Carlos
State California (CA)
Post Code 940703900
Phone Number 6505923433
Fax Number 6505922601

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 29133
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 Jerold Fenton Alvarado

What is the unique 10-digit identification code assigned to Jerold Fenton Alvarado by the Centers for Medicare & Medicaid Services?

The Jerold Fenton Alvarado has been issued the NPI (National Provider Identifier) 1306975925, 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 Jerold Fenton Alvarado's facilities are geographically located?

The facilities of Jerold Fenton Alvarado are physically situated at the following location: 990 Laurel St, San Carlos, CA, 940703900.

What is Jerold Fenton Alvarado's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Jerold Fenton Alvarado is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

On what date did the Jerold Fenton Alvarado receive the assignment of its 1306975925 from the Centers for Medicare & Medicaid Services?

The Jerold Fenton Alvarado was issued its 1306975925 by the Centers for Medicare & Medicaid Services on 2007-03-02.

As of what date was the information regarding Jerold Fenton Alvarado, such as address, specialty, and other details, last verified and confirmed to be up-to-date?

The information related to Jerold Fenton Alvarado, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.

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