Tahoe City Dental Group in Tahoe City - Dentist
Tahoe City Dental Group - NPI 1043393739
Tahoe City Dental Group is a Dentist in Tahoe City, California. Tahoe City Dental Group practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tahoe City Dental Group is 1043393739. The last update date is 2020-08-22.
Tahoe City Dental Group's current location address is Po Box 5129, Tahoe City, California. You can contact this provider via phone number 5305830278 and fax number 5305838660. The mailing address for Tahoe City Dental Group is Po Box 5129, Tahoe City, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tahoe City Dental Group |
|---|---|
| Address | Po Box 5129, Tahoe City, California |
| Phone Number | 5305830278 |
| Fax Number | 5305838660 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PART |
|---|---|
| Authorized Official Name | Tomlinson Raymond Richard |
| Credentials | DDS |
| Telephone Number | 5305830278 |
NPI Number Detail
| NPI Number | 1043393739 |
|---|---|
| Provider Enumeration Date | 2006-10-24 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 5129 |
|---|---|
| City | Tahoe City |
| State | California (CA) |
| Post Code | 96145 |
| Phone Number | 5305830278 |
| Fax Number | 5305838660 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 25458 |
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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 Tahoe City Dental Group's unique identification number?
The Tahoe City Dental Group has been assigned the NPI (National Provider Identifier) Number 1043393739 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Tahoe City Dental Group?
The Tahoe City Dental Group is situated at Po Box 5129, in the city of Tahoe City, state of CA, with the zip code 96145.
What is Tahoe City Dental Group's specialized field of practice, and what is the corresponding taxonomy classification code?
The Tahoe City Dental Group's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1043393739 to Tahoe City Dental Group?
The Centers for Medicare & Medicaid Services assigned the 1043393739 to Tahoe City Dental Group on 2006-10-24.
As of what date was the information regarding Tahoe City Dental Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tahoe City Dental Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-22.