Ted Chaffee is a Dentist in Simi Valley, California. Ted Chaffee practices all healthcare services and medical treatments related to Dentist. The NPI Number for Ted Chaffee is 1053521179. The last update date is 2007-07-08.
Ted Chaffee's current location address is 2950 Sycamore Dr, Simi Valley, California. You can contact this provider via phone number 8055276400 and fax number 8055276950. The mailing address for Ted Chaffee is 2950 Sycamore Dr, Simi Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ted Chaffee |
|---|---|
| Address | 2950 Sycamore Dr, Simi Valley, California |
| Phone Number | 8055276400 |
| Fax Number | 8055276950 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1053521179 |
|---|---|
| Provider Enumeration Date | 2007-05-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2950 Sycamore Dr |
|---|---|
| City | Simi Valley |
| State | California (CA) |
| Post Code | 930651210 |
| Phone Number | 8055276400 |
| Fax Number | 8055276950 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 22722 |
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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 identifier code assigned to Ted Chaffee by the Centers for Medicare & Medicaid Services?
The Ted Chaffee has been issued the NPI (National Provider Identifier) 1053521179 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Ted Chaffee's physical address?
The Ted Chaffee is physically located at 2950 Sycamore Dr, in the city of Simi Valley, CA, with the postal code 930651210.
What is Ted Chaffee's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Ted Chaffee is Dentist, and the taxonomy code that categorizes this field of expertise is 122300000X.
On what date did the Ted Chaffee receive its 1053521179 assignment from the Centers for Medicare & Medicaid Services?
The Ted Chaffee was assigned its 1053521179 by the Centers for Medicare & Medicaid Services on 2007-05-24.
As of what date was the information regarding Ted Chaffee, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Ted Chaffee, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.