Wallis E Andelin in Huntington Beach - Endodontics
Wallis E Andelin - NPI 1457488132
Wallis E Andelin is a Endodontics in Huntington Beach, California. Wallis E Andelin practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Wallis E Andelin is 1457488132. The last update date is 2010-08-18.
Wallis E Andelin's current location address is 16168 Beach Blvd, Huntington Beach, California. You can contact this provider via phone number 7148478488 and fax number 7148471582. The mailing address for Wallis E Andelin is 16168 Beach Blvd, Huntington Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Wallis E Andelin |
|---|---|
| Address | 16168 Beach Blvd, Huntington Beach, California |
| Phone Number | 7148478488 |
| Fax Number | 7148471582 |
| Sole Proprietor | Y |
| Credentials | D.D.S., MS |
NPI Number Detail
| NPI Number | 1457488132 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2010-08-18 |
Provider Mailing Address Detail
| Address | 16168 Beach Blvd |
|---|---|
| City | Huntington Beach |
| State | California (CA) |
| Post Code | 926473816 |
| Phone Number | 7148478488 |
| Fax Number | 7148471582 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 33229 |
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Definition: The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the eti |
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What is the unique provider identifier assigned to Wallis E Andelin?
The Wallis E Andelin has been issued the NPI (National Provider Identifier) 1457488132 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Wallis E Andelin located?
The Wallis E Andelin is located at 16168 Beach Blvd, Huntington Beach, CA 926473816.
What is Wallis E Andelin's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Wallis E Andelin is Endodontics, and the corresponding taxonomy classification code for this specialized field is 1223E0200X.
On what date did the Wallis E Andelin receive its 1457488132 assignment from the Centers for Medicare & Medicaid Services?
The Wallis E Andelin was assigned its 1457488132 by the Centers for Medicare & Medicaid Services on 2007-02-28.
When was the Wallis E Andelin's information last updated?
The Wallis E Andelin's information was last updated on 2010-08-18.