Shaelan Mc Donough in Thousand Oaks - Dentist
Shaelan Mc Donough - NPI 1265630214
Shaelan Mc Donough is a Dentist in Thousand Oaks, California. Shaelan Mc Donough practices all healthcare services and medical treatments related to Dentist. The NPI Number for Shaelan Mc Donough is 1265630214. The last update date is 2013-08-09.
Shaelan Mc Donough's current location address is 593 N Moorpark Rd Ste B, Thousand Oaks, California. You can contact this provider via phone number 7022055398 and fax number 8054945322. The mailing address for Shaelan Mc Donough is 593 N Moorpark Rd Ste B, Thousand Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Shaelan Mc Donough |
|---|---|
| Address | 593 N Moorpark Rd Ste B, Thousand Oaks, California |
| Phone Number | 7022055398 |
| Fax Number | 8054945322 |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1265630214 |
|---|---|
| Provider Enumeration Date | 2007-07-10 |
| Last Updated Date | 2013-08-09 |
Provider Mailing Address Detail
| Address | 593 N Moorpark Rd Ste B |
|---|---|
| City | Thousand Oaks |
| State | California (CA) |
| Post Code | 913603732 |
| Phone Number | 7022055398 |
| Fax Number | 8054945322 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 56210 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| D7298 | NE | -- |
Post Comment/ Review Below
What is the Shaelan Mc Donough's unique identification number?
The Shaelan Mc Donough has been assigned the NPI (National Provider Identifier) Number 1265630214 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 Shaelan Mc Donough?
The Shaelan Mc Donough is situated at 593 N Moorpark Rd Ste B, in the city of Thousand Oaks, state of CA, with the zip code 913603732.
What is the Shaelan Mc Donough's specialty and taxonomy code?
The Shaelan Mc Donough's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When was the Shaelan Mc Donough's 1265630214 issued?
The Shaelan Mc Donough's 1265630214 was issued on 2007-07-10.
When was the information regarding Shaelan Mc Donough most recently updated?
The details pertaining to the Shaelan Mc Donough, including its address, specialty, and other relevant information, were last refreshed on 2013-08-09.