Wayne Alan Mathe in Sonora - Dentist

Wayne Alan Mathe - NPI 1063537868

Wayne Alan Mathe is a Dentist in Sonora, California. Wayne Alan Mathe practices all healthcare services and medical treatments related to Dentist. The NPI Number for Wayne Alan Mathe is 1063537868. The last update date is 2007-07-08.

Wayne Alan Mathe's current location address is 12917 Beckwith Cir, Sonora, California. You can contact this provider via phone number 2095338258. The mailing address for Wayne Alan Mathe is 12917 Beckwith Cir, Sonora, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne Alan Mathe
Address 12917 Beckwith Cir, Sonora, California
Phone Number 2095338258
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1063537868
Provider Enumeration Date 2007-03-20
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 12917 Beckwith Cir
City Sonora
State California (CA)
Post Code 953705991
Phone Number 2095338258
Fax Number

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 26204
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

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
26204 CA DENTAL LICENSE

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FAQs about Wayne Alan Mathe

What is the Wayne Alan Mathe's 1063537868?

The Wayne Alan Mathe's NPI (National Provider Identifier) Number is 1063537868. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete physical address where Wayne Alan Mathe is located?

The Wayne Alan Mathe is situated at the following address: 12917 Beckwith Cir, Sonora, CA, 953705991.

What is Wayne Alan Mathe's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Wayne Alan Mathe's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.

When did Wayne Alan Mathe receive its 1063537868 assignment?

The Wayne Alan Mathe was assigned its 1063537868 on 2007-03-20, which is the date when this unique identifier was issued to the organization.

When was the information pertaining to Wayne Alan Mathe most recently updated or revised?

The details related to Wayne Alan Mathe, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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