Max J Quezada is a Dentist in San Bernardino, California. Max J Quezada practices all healthcare services and medical treatments related to Dentist. The NPI Number for Max J Quezada is 1265601256. The last update date is 2022-12-21.
Max J Quezada's current location address is 3972 N Waterman Ave, San Bernardino, California. You can contact this provider via phone number 9512641733. The mailing address for Max J Quezada is 3972 N Waterman Ave, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Max J Quezada |
|---|---|
| Address | 3972 N Waterman Ave, San Bernardino, California |
| Phone Number | 9512641733 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1265601256 |
|---|---|
| Provider Enumeration Date | 2008-02-25 |
| Last Updated Date | 2022-12-21 |
Provider Mailing Address Detail
| Address | 3972 N Waterman Ave |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924041700 |
| Phone Number | 9512641733 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dentist |
|---|---|
| Taxonomy | 122300000X |
| Licence No | 25441 |
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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 |
|---|---|---|---|
| 25441 | CA | CA DENTAL LICENSE # |
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What is the unique 10-digit identification code issued to Max J Quezada by the Centers for Medicare & Medicaid Services?
The Max J Quezada has been assigned the NPI (National Provider Identifier) 1265601256 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Where is the Max J Quezada located?
The Max J Quezada is located at 3972 N Waterman Ave, San Bernardino, CA 924041700.
What is the Max J Quezada's area of specialization and corresponding taxonomy classification?
The Max J Quezada's specialty field is Dentist, and it falls under the taxonomy code 122300000X, which categorizes healthcare providers based on their specialties.
When did the Max J Quezada receive its 1265601256?
The Max J Quezada was issued its 1265601256 on 2008-02-25, which is the date when the organization was assigned this unique identifier.
When was the information regarding Max J Quezada, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Max J Quezada, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2022-12-21.