Jan Odell Dds Inc in San Juan Capistrano - Endodontics
Jan Odell Dds Inc - NPI 1336150606
Jan Odell Dds Inc is a Endodontics in San Juan Capistrano, California. Jan Odell Dds Inc practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Jan Odell Dds Inc is 1336150606. The last update date is 2013-09-12.
Jan Odell Dds Inc's current location address is 27462 Calle Arroyo, San Juan Capistrano, California. You can contact this provider via phone number 9494439533 and fax number 9494436123. The mailing address for Jan Odell Dds Inc is 27462 Calle Arroyo, San Juan Capistrano, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Jan Odell Dds Inc |
|---|---|
| Address | 27462 Calle Arroyo, San Juan Capistrano, California |
| Phone Number | 9494439533 |
| Fax Number | 9494436123 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Odell M Josanne |
| Credentials | DDS |
| Telephone Number | 9494439533 |
NPI Number Detail
| NPI Number | 1336150606 |
|---|---|
| Provider Enumeration Date | 2006-08-11 |
| Last Updated Date | 2013-09-12 |
Provider Mailing Address Detail
| Address | 27462 Calle Arroyo |
|---|---|
| City | San Juan Capistrano |
| State | California (CA) |
| Post Code | 92675 |
| Phone Number | 9494439533 |
| Fax Number | 9494436123 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 39059 |
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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 Jan Odell Dds Inc's 1336150606?
The Jan Odell Dds Inc's NPI (National Provider Identifier) Number is 1336150606. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jan Odell Dds Inc?
The Jan Odell Dds Inc is situated at 27462 Calle Arroyo, in the city of San Juan Capistrano, state of CA, with the zip code 92675.
What is Jan Odell Dds Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jan Odell Dds Inc is Endodontics, and the taxonomy code that classifies this field of practice is 1223E0200X.
On what date did the Centers for Medicare & Medicaid Services issue the 1336150606 to Jan Odell Dds Inc?
The Jan Odell Dds Inc received its 1336150606 assignment from the Centers for Medicare & Medicaid Services on 2006-08-11.
As of what date were the Jan Odell Dds Inc's details last updated?
The information pertaining to the Jan Odell Dds Inc, including its address, specialty, and other details, was most recently updated on 2013-09-12.