Kirk Elliott Tiner in Elk Grove - Dentist
Kirk Elliott Tiner - NPI 1679691349
Kirk Elliott Tiner is a Dentist in Elk Grove, California. Kirk Elliott Tiner practices all healthcare services and medical treatments related to Dentist. The NPI Number for Kirk Elliott Tiner is 1679691349. The last update date is 2012-02-02.
Kirk Elliott Tiner's current location address is 9184 E Stockton Blvd, Elk Grove, California. You can contact this provider via phone number 9166861101 and fax number 9167143195. The mailing address for Kirk Elliott Tiner is 9184 E Stockton Blvd, Elk Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kirk Elliott Tiner |
|---|---|
| Address | 9184 E Stockton Blvd, Elk Grove, California |
| Phone Number | 9166861101 |
| Fax Number | 9167143195 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1679691349 |
|---|---|
| Provider Enumeration Date | 2007-03-27 |
| Last Updated Date | 2012-02-02 |
Provider Mailing Address Detail
| Address | 9184 E Stockton Blvd |
|---|---|
| City | Elk Grove |
| State | California (CA) |
| Post Code | 956249510 |
| Phone Number | 9166861101 |
| Fax Number | 9167143195 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 38376 |
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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 |
|---|---|---|---|
| G94015-01 | CA | DENTI-CAL | |
| 20-4753840 | CA | TAX I.D. # |
Post Comment/ Review Below
What is the Kirk Elliott Tiner's 1679691349?
The Kirk Elliott Tiner's NPI (National Provider Identifier) Number is 1679691349. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Kirk Elliott Tiner?
The Kirk Elliott Tiner is physically situated at 9184 E Stockton Blvd, in the city of Elk Grove, state of CA, with the postal code 956249510.
What is Kirk Elliott Tiner's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kirk Elliott Tiner's area of specialization is Dentist, and the corresponding taxonomy code that categorizes this field of practice is 122300000X.
On what date was the 1679691349 assigned to Kirk Elliott Tiner?
The Kirk Elliott Tiner was issued its 1679691349 on 2007-03-27, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Kirk Elliott Tiner, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kirk Elliott Tiner, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2012-02-02.
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