Bernardino Octavio Elizondo in San Benito - Dentist

Bernardino Octavio Elizondo - NPI 1265418487

Bernardino Octavio Elizondo is a Dentist in San Benito, Texas. Bernardino Octavio Elizondo practices all healthcare services and medical treatments related to Dentist. The NPI Number for Bernardino Octavio Elizondo is 1265418487. The last update date is 2010-04-28.

Bernardino Octavio Elizondo's current location address is 1389 West Business Hwy 77, San Benito, Texas. You can contact this provider via phone number 9563999929 and fax number 9563994855. The mailing address for Bernardino Octavio Elizondo is 1389 West Business Hwy 77, San Benito, Texas. To know further, please read the information below!

Provider Profile Detail

Provider Name Bernardino Octavio Elizondo
Address 1389 West Business Hwy 77, San Benito, Texas
Phone Number 9563999929
Fax Number 9563994855
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1265418487
Provider Enumeration Date 2005-12-20
Last Updated Date 2010-04-28

Provider Mailing Address Detail

Address 1389 West Business Hwy 77
City San Benito
State Texas (TX)
Post Code 78586
Phone Number 9563999929
Fax Number 9563994855

Provider's Primary Taxonomy Detail

Speciality Dentist
Taxonomy 122300000X
Licence No 19338
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
149837001 TX --

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FAQs about Bernardino Octavio Elizondo

What is the unique 10-digit identifier code issued to Bernardino Octavio Elizondo by the Centers for Medicare & Medicaid Services?

The Bernardino Octavio Elizondo has been assigned the NPI (National Provider Identifier) 1265418487 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Bernardino Octavio Elizondo?

The Bernardino Octavio Elizondo is situated at 1389 West Business Hwy 77, in the city of San Benito, state of TX, with the zip code 78586.

What is Bernardino Octavio Elizondo's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Bernardino Octavio Elizondo is Dentist, and the taxonomy classification code that categorizes this area of expertise is 122300000X.

When did the Bernardino Octavio Elizondo receive its 1265418487?

The Bernardino Octavio Elizondo was issued its 1265418487 on 2005-12-20, which is the date when the organization was assigned this unique identifier.

As of what date was the information pertaining to Bernardino Octavio Elizondo, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Bernardino Octavio Elizondo, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2010-04-28.

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