Robert N Matiasevich in Santa Cruz - Dentist
Robert N Matiasevich - NPI 1417160904
Robert N Matiasevich is a Dentist in Santa Cruz, California. Robert N Matiasevich practices all healthcare services and medical treatments related to Dentist. The NPI Number for Robert N Matiasevich is 1417160904. The last update date is 2007-07-08.
Robert N Matiasevich's current location address is 1775 Dominican Way, Santa Cruz, California. You can contact this provider via phone number 8314767272 and fax number 8314761446. The mailing address for Robert N Matiasevich is 1775 Dominican Way, Santa Cruz, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Robert N Matiasevich |
|---|---|
| Address | 1775 Dominican Way, Santa Cruz, California |
| Phone Number | 8314767272 |
| Fax Number | 8314761446 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1417160904 |
|---|---|
| Provider Enumeration Date | 2007-05-08 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1775 Dominican Way |
|---|---|
| City | Santa Cruz |
| State | California (CA) |
| Post Code | 95065 |
| Phone Number | 8314767272 |
| Fax Number | 8314761446 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 21480 |
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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 provider identifier assigned to Robert N Matiasevich?
The Robert N Matiasevich has been issued the NPI (National Provider Identifier) 1417160904 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Robert N Matiasevich is located?
The Robert N Matiasevich is situated at the following address: 1775 Dominican Way, Santa Cruz, CA, 95065.
What is Robert N Matiasevich's specialized field of practice, and what is the corresponding taxonomy classification code?
The Robert N Matiasevich's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
When did the Robert N Matiasevich receive its 1417160904?
The Robert N Matiasevich was issued its 1417160904 on 2007-05-08, which is the date when the organization was assigned this unique identifier.
As of what date were the details related to Robert N Matiasevich most recently updated or revised?
The information pertaining to Robert N Matiasevich, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.