Cheryl G Vicencio is a Dentist in San Jose, California. Cheryl G Vicencio practices all healthcare services and medical treatments related to Dentist. The NPI Number for Cheryl G Vicencio is 1124198296. The last update date is 2007-07-08.
Cheryl G Vicencio's current location address is 753 Saratoga Ave, San Jose, California. You can contact this provider via phone number 4082552222 and fax number 4082552280. The mailing address for Cheryl G Vicencio is 753 Saratoga Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Cheryl G Vicencio |
|---|---|
| Address | 753 Saratoga Ave, San Jose, California |
| Phone Number | 4082552222 |
| Fax Number | 4082552280 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1124198296 |
|---|---|
| Provider Enumeration Date | 2006-11-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 753 Saratoga Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 95129 |
| Phone Number | 4082552222 |
| Fax Number | 4082552280 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 39908 |
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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 issued to Cheryl G Vicencio by the Centers for Medicare & Medicaid Services?
The Cheryl G Vicencio has been assigned the NPI (National Provider Identifier) 1124198296 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you kindly provide the complete physical address where Cheryl G Vicencio's facilities are geographically located?
The facilities of Cheryl G Vicencio are physically situated at the following location: 753 Saratoga Ave, San Jose, CA, 95129.
What is Cheryl G Vicencio's area of expertise and its corresponding taxonomy classification?
The Cheryl G Vicencio's field of specialization is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1124198296 to Cheryl G Vicencio?
The Centers for Medicare & Medicaid Services originally issued the 1124198296 to Cheryl G Vicencio on 2006-11-08.
When was the information regarding Cheryl G Vicencio most recently updated?
The details pertaining to the Cheryl G Vicencio, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.