Fabian Dimitri Cordova in Wayne - Dentist
Fabian Dimitri Cordova - NPI 1962626135
Fabian Dimitri Cordova is a Dentist in Wayne, New Jersey. Fabian Dimitri Cordova practices all healthcare services and medical treatments related to Dentist. The NPI Number for Fabian Dimitri Cordova is 1962626135. The last update date is 2007-07-08.
Fabian Dimitri Cordova's current location address is 57 Tall Oaks Dr, Wayne, New Jersey. You can contact this provider via phone number 9736335731. The mailing address for Fabian Dimitri Cordova is 57 Tall Oaks Dr, Wayne, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Fabian Dimitri Cordova |
|---|---|
| Address | 57 Tall Oaks Dr, Wayne, New Jersey |
| Phone Number | 9736335731 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1962626135 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 57 Tall Oaks Dr |
|---|---|
| City | Wayne |
| State | New Jersey (NJ) |
| Post Code | 74704428 |
| Phone Number | 9736335731 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 306471 |
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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 identification code assigned to Fabian Dimitri Cordova by the Centers for Medicare & Medicaid Services?
The Fabian Dimitri Cordova has been issued the NPI (National Provider Identifier) 1962626135, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Fabian Dimitri Cordova's facilities are geographically located?
The facilities of Fabian Dimitri Cordova are physically situated at the following location: 57 Tall Oaks Dr, Wayne, NJ, 74704428.
What is the Fabian Dimitri Cordova's area of specialization and corresponding taxonomy classification?
The Fabian Dimitri Cordova's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
On what date did Fabian Dimitri Cordova receive its 1962626135 assignment from the Centers for Medicare & Medicaid Services?
The Fabian Dimitri Cordova was assigned its 1962626135 on 2007-04-12, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Fabian Dimitri Cordova most recently updated or refreshed?
The details pertaining to the Fabian Dimitri Cordova, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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