Phillip Andrew Waterman in Santa Rosa - Endodontics
Phillip Andrew Waterman - NPI 1487700704
Phillip Andrew Waterman is a Endodontics in Santa Rosa, California. Phillip Andrew Waterman practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Phillip Andrew Waterman is 1487700704. The last update date is 2007-07-08.
Phillip Andrew Waterman's current location address is 3748 Montgomery Dr, Santa Rosa, California. You can contact this provider via phone number 7075467905 and fax number 7075461573. The mailing address for Phillip Andrew Waterman is 3748 Montgomery Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Phillip Andrew Waterman |
|---|---|
| Address | 3748 Montgomery Dr, Santa Rosa, California |
| Phone Number | 7075467905 |
| Fax Number | 7075461573 |
| Sole Proprietor | Y |
| Credentials | DDS, MS |
NPI Number Detail
| NPI Number | 1487700704 |
|---|---|
| Provider Enumeration Date | 2007-01-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3748 Montgomery Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954055215 |
| Phone Number | 7075467905 |
| Fax Number | 7075461573 |
Provider's Primary Taxonomy Detail
| Speciality | Endodontics |
|---|---|
| Taxonomy | 1223E0200X |
| Licence No | 29520 |
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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 identification code issued to Phillip Andrew Waterman by the Centers for Medicare & Medicaid Services?
The Phillip Andrew Waterman has been assigned the NPI (National Provider Identifier) 1487700704 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Phillip Andrew Waterman's facilities are situated?
The facilities of Phillip Andrew Waterman are physically located at the following address: 3748 Montgomery Dr, Santa Rosa, CA, 954055215.
What is the Phillip Andrew Waterman's area of specialization and corresponding taxonomy classification?
The Phillip Andrew Waterman's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.
When was the Phillip Andrew Waterman's 1487700704 issued?
The Phillip Andrew Waterman's 1487700704 was issued on 2007-01-27.
When was the information regarding Phillip Andrew Waterman most recently updated?
The details pertaining to the Phillip Andrew Waterman, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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