Tooth Fairy Dental Group in Chula Vista - Dentist
Tooth Fairy Dental Group - NPI 1962658690
Tooth Fairy Dental Group is a Dentist in Chula Vista, California. Tooth Fairy Dental Group practices all healthcare services and medical treatments related to Dentist. The NPI Number for Tooth Fairy Dental Group is 1962658690. The last update date is 2022-07-21.
Tooth Fairy Dental Group's current location address is 1040 Tierra Del Rey Ste 103, Chula Vista, California. You can contact this provider via phone number 6194821210. The mailing address for Tooth Fairy Dental Group is 1040 Tierra Del Rey Ste 103, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Tooth Fairy Dental Group |
|---|---|
| Address | 1040 Tierra Del Rey Ste 103, Chula Vista, California |
| Phone Number | 6194821210 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Liu S Nathaniel |
| Credentials | DDS |
| Telephone Number | 6192594001 |
NPI Number Detail
| NPI Number | 1962658690 |
|---|---|
| Provider Enumeration Date | 2008-08-13 |
| Last Updated Date | 2022-07-21 |
Provider Mailing Address Detail
| Address | 1040 Tierra Del Rey Ste 103 |
|---|---|
| City | Chula Vista |
| State | California (CA) |
| Post Code | 919107865 |
| Phone Number | 6194821210 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | D44924 |
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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 issued to Tooth Fairy Dental Group by the Centers for Medicare & Medicaid Services?
The Tooth Fairy Dental Group has been assigned the NPI (National Provider Identifier) 1962658690 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete physical location address of Tooth Fairy Dental Group?
The Tooth Fairy Dental Group is physically situated at 1040 Tierra Del Rey Ste 103, in the city of Chula Vista, state of CA, with the postal code 919107865.
What is the Tooth Fairy Dental Group's specialty and taxonomy code?
The Tooth Fairy Dental Group's specialty is Dentist, and the corresponding taxonomy code is 122300000X.
When did the Tooth Fairy Dental Group receive its 1962658690?
The Tooth Fairy Dental Group was issued its 1962658690 on 2008-08-13, which is the date when the organization was assigned this unique identifier.
When was the Tooth Fairy Dental Group's information last updated?
The Tooth Fairy Dental Group's information was last updated on 2022-07-21.
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