Maristela Tan is a Dentist in Fairfield, California. Maristela Tan practices all healthcare services and medical treatments related to Dentist. The NPI Number for Maristela Tan is 1164569646. The last update date is 2007-07-08.
Maristela Tan's current location address is 2440 N Texas St, Fairfield, California. You can contact this provider via phone number 7074224600 and fax number 7074220396. The mailing address for Maristela Tan is 2440 N Texas St, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Maristela Tan |
|---|---|
| Address | 2440 N Texas St, Fairfield, California |
| Phone Number | 7074224600 |
| Fax Number | 7074220396 |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1164569646 |
|---|---|
| Provider Enumeration Date | 2007-01-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2440 N Texas St |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945331602 |
| Phone Number | 7074224600 |
| Fax Number | 7074220396 |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 50829 |
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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 identifier code issued to Maristela Tan by the Centers for Medicare & Medicaid Services (CMS)?
The Maristela Tan has been assigned the NPI (National Provider Identifier) 1164569646. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please provide the complete physical location address of Maristela Tan?
The Maristela Tan is physically situated at 2440 N Texas St, in the city of Fairfield, state of CA, with the postal code 945331602.
What is Maristela Tan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Maristela Tan's specialized field of practice is Dentist, and the corresponding taxonomy code that categorizes this area of specialization is 122300000X.
On what date did the Maristela Tan receive its 1164569646 assignment from the Centers for Medicare & Medicaid Services?
The Maristela Tan was assigned its 1164569646 by the Centers for Medicare & Medicaid Services on 2007-01-31.
When was the information related to Maristela Tan most recently updated or refreshed?
The details pertaining to the Maristela Tan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.
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