Clyde Steven Ikeda in Santa Maria - Dentist
Clyde Steven Ikeda - NPI 1316093552
Clyde Steven Ikeda is a Dentist in Santa Maria, California. Clyde Steven Ikeda practices all healthcare services and medical treatments related to Dentist. The NPI Number for Clyde Steven Ikeda is 1316093552. The last update date is 2007-07-08.
Clyde Steven Ikeda's current location address is 2503 Professional Pkwy, Santa Maria, California. You can contact this provider via phone number 8059344500 and fax number 8059345263. The mailing address for Clyde Steven Ikeda is 2503 Professional Pkwy, Santa Maria, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clyde Steven Ikeda |
|---|---|
| Address | 2503 Professional Pkwy, Santa Maria, California |
| Phone Number | 8059344500 |
| Fax Number | 8059345263 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1316093552 |
|---|---|
| Provider Enumeration Date | 2007-01-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2503 Professional Pkwy |
|---|---|
| City | Santa Maria |
| State | California (CA) |
| Post Code | 934551657 |
| Phone Number | 8059344500 |
| Fax Number | 8059345263 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 30699 |
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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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Post Comment/ Review Below
What is the unique identifier code issued to Clyde Steven Ikeda by the Centers for Medicare & Medicaid Services (CMS)?
The Clyde Steven Ikeda has been assigned the NPI (National Provider Identifier) 1316093552. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete street address where Clyde Steven Ikeda is physically located?
The Clyde Steven Ikeda is physically situated at the following address: 2503 Professional Pkwy, Santa Maria, CA, 934551657.
What is Clyde Steven Ikeda's area of expertise and its corresponding taxonomy classification?
The Clyde Steven Ikeda'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 issue the 1316093552 to Clyde Steven Ikeda?
The Clyde Steven Ikeda received its 1316093552 assignment from the Centers for Medicare & Medicaid Services on 2007-01-27.
As of what date were the details pertaining to Clyde Steven Ikeda last refreshed?
The information related to the Clyde Steven Ikeda, including its address, specialty, and other relevant details, was last updated on 2007-07-08.