Michael John Scianamblo in San Rafael - Endodontics
Michael John Scianamblo - NPI 1730245903
Michael John Scianamblo is a Endodontics in San Rafael, California. Michael John Scianamblo practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Michael John Scianamblo is 1730245903. The last update date is 2007-07-08.
Michael John Scianamblo's current location address is 1526 5th Ave, San Rafael, California. You can contact this provider via phone number 4154573002 and fax number 4154570591. The mailing address for Michael John Scianamblo is 1526 5th Ave, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael John Scianamblo |
|---|---|
| Address | 1526 5th Ave, San Rafael, California |
| Phone Number | 4154573002 |
| Fax Number | 4154570591 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1730245903 |
|---|---|
| Provider Enumeration Date | 2006-12-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1526 5th Ave |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949011852 |
| Phone Number | 4154573002 |
| Fax Number | 4154570591 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 27065 |
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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 10-digit identifier code assigned to Michael John Scianamblo by the Centers for Medicare & Medicaid Services?
The Michael John Scianamblo has been issued the NPI (National Provider Identifier) 1730245903 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete street address where Michael John Scianamblo is physically located?
The Michael John Scianamblo is physically situated at the following address: 1526 5Th Ave, San Rafael, CA, 949011852.
What is Michael John Scianamblo's area of expertise and its corresponding taxonomy classification?
The Michael John Scianamblo's field of specialization is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their areas of practice.
When was the Michael John Scianamblo's 1730245903 issued?
The Michael John Scianamblo's 1730245903 was issued on 2006-12-29.
When was the information related to Michael John Scianamblo most recently updated or refreshed?
The details pertaining to the Michael John Scianamblo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.