Anthony D Collard in San Rafael - Dentist

Anthony D Collard - NPI 1023144367

Anthony D Collard is a Dentist in San Rafael, California. Anthony D Collard practices all healthcare services and medical treatments related to Dentist. The NPI Number for Anthony D Collard is 1023144367. The last update date is 2007-07-08.

Anthony D Collard's current location address is 880 Las Gallinas Ave, San Rafael, California. You can contact this provider via phone number 4154798747 and fax number 4154799960. The mailing address for Anthony D Collard is 880 Las Gallinas Ave, San Rafael, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Anthony D Collard
Address 880 Las Gallinas Ave, San Rafael, California
Phone Number 4154798747
Fax Number 4154799960
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1023144367
Provider Enumeration Date 2007-02-23
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 880 Las Gallinas Ave
City San Rafael
State California (CA)
Post Code 94903
Phone Number 4154798747
Fax Number 4154799960

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 26829
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 Anthony D Collard

What is the unique 10-digit identifier code assigned to Anthony D Collard by the Centers for Medicare & Medicaid Services?

The Anthony D Collard has been issued the NPI (National Provider Identifier) 1023144367 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you provide the complete physical address where Anthony D Collard is located?

The Anthony D Collard is situated at the following address: 880 Las Gallinas Ave, San Rafael, CA, 94903.

What is Anthony D Collard's area of expertise and its corresponding taxonomy classification?

The Anthony D Collard'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 Anthony D Collard receive its 1023144367 assignment from the Centers for Medicare & Medicaid Services?

The Anthony D Collard was assigned its 1023144367 by the Centers for Medicare & Medicaid Services on 2007-02-23.

When was the information related to Anthony D Collard most recently updated or refreshed?

The details pertaining to the Anthony D Collard, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.

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