Paul Victor Koepke in San Diego - Dentist
Paul Victor Koepke - NPI 1871616359
Paul Victor Koepke is a Dentist in San Diego, California. Paul Victor Koepke practices all healthcare services and medical treatments related to Dentist. The NPI Number for Paul Victor Koepke is 1871616359. The last update date is 2007-07-08.
Paul Victor Koepke's current location address is 4926 La Cuenta Dr Ste 100, San Diego, California. You can contact this provider via phone number 8582797680. The mailing address for Paul Victor Koepke is 4926 La Cuenta Dr Ste 100, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Paul Victor Koepke |
|---|---|
| Address | 4926 La Cuenta Dr Ste 100, San Diego, California |
| Phone Number | 8582797680 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1871616359 |
|---|---|
| Provider Enumeration Date | 2007-04-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4926 La Cuenta Dr Ste 100 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921242687 |
| Phone Number | 8582797680 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 51877 |
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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 identification code assigned to Paul Victor Koepke by the Centers for Medicare & Medicaid Services?
The Paul Victor Koepke has been issued the NPI (National Provider Identifier) 1871616359, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Paul Victor Koepke?
The Paul Victor Koepke is situated at 4926 La Cuenta Dr Ste 100, in the city of San Diego, state of CA, with the zip code 921242687.
What is Paul Victor Koepke'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 Paul Victor Koepke is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.
On what date did the Paul Victor Koepke receive the assignment of its 1871616359 from the Centers for Medicare & Medicaid Services?
The Paul Victor Koepke was issued its 1871616359 by the Centers for Medicare & Medicaid Services on 2007-04-09.
When was the information regarding Paul Victor Koepke, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Paul Victor Koepke, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.
NPI Number: 1487640876
Address: 587 5th St W, Sonoma, CA