Peter Ralph Vandersloot in Tracy - Endodontics

Peter Ralph Vandersloot - NPI 1225124969

Peter Ralph Vandersloot is a Endodontics in Tracy, California. Peter Ralph Vandersloot practices all healthcare services and medical treatments related to Endodontics. The NPI Number for Peter Ralph Vandersloot is 1225124969. The last update date is 2007-07-08.

Peter Ralph Vandersloot's current location address is 2850 N Tracy Blvd, Tracy, California. You can contact this provider via phone number 2098353933 and fax number 2098353939. The mailing address for Peter Ralph Vandersloot is 2850 N Tracy Blvd, Tracy, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Peter Ralph Vandersloot
Address 2850 N Tracy Blvd, Tracy, California
Phone Number 2098353933
Fax Number 2098353939
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1225124969
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2850 N Tracy Blvd
City Tracy
State California (CA)
Post Code 953767767
Phone Number 2098353933
Fax Number 2098353939

Provider's Primary Taxonomy Detail

Speciality Endodontics
Taxonomy 1223E0200X
Licence No 46707
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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FAQs about Peter Ralph Vandersloot

What is the unique 10-digit identification code assigned to Peter Ralph Vandersloot by the Centers for Medicare & Medicaid Services?

The Peter Ralph Vandersloot has been issued the NPI (National Provider Identifier) 1225124969, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Peter Ralph Vandersloot's facilities are situated?

The facilities of Peter Ralph Vandersloot are physically located at the following address: 2850 N Tracy Blvd, Tracy, CA, 953767767.

What is the Peter Ralph Vandersloot's area of specialization and corresponding taxonomy classification?

The Peter Ralph Vandersloot's specialty field is Endodontics, and it falls under the taxonomy code 1223E0200X, which categorizes healthcare providers based on their specialties.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1225124969 to Peter Ralph Vandersloot?

The Centers for Medicare & Medicaid Services originally issued the 1225124969 to Peter Ralph Vandersloot on 2006-10-04.

When was the information pertaining to Peter Ralph Vandersloot most recently updated or revised?

The details related to Peter Ralph Vandersloot, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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