East Lake Family Dentistry in Chula Vista - General Practice
East Lake Family Dentistry - NPI 1508912858
East Lake Family Dentistry is a General Practice in Chula Vista, California. East Lake Family Dentistry practices all healthcare services and medical treatments related to General Practice. The NPI Number for East Lake Family Dentistry is 1508912858. The last update date is 2020-08-22.
East Lake Family Dentistry's current location address is 970 Eastlake Pkwy, Chula Vista, California. You can contact this provider via phone number 6194822920 and fax number 6194822924. The mailing address for East Lake Family Dentistry is 970 Eastlake Pkwy, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | East Lake Family Dentistry |
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Address | 970 Eastlake Pkwy, Chula Vista, California |
Phone Number | 6194822920 |
Fax Number | 6194822924 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | DDS |
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Authorized Official Name | Maroon E Robert |
Credentials | D.D.S.,F.I |
Telephone Number | 6194822920 |
NPI Number Detail
NPI Number | 1508912858 |
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Provider Enumeration Date | 2007-01-26 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 970 Eastlake Pkwy |
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City | Chula Vista |
State | California (CA) |
Post Code | 919143561 |
Phone Number | 6194822920 |
Fax Number | 6194822924 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 43466 |
Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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What is the unique identification code assigned to East Lake Family Dentistry by the Centers for Medicare & Medicaid Services?
The East Lake Family Dentistry has been issued the NPI (National Provider Identifier) 1508912858. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where East Lake Family Dentistry is geographically located?
The East Lake Family Dentistry is physically situated at the following location: 970 Eastlake Pkwy, Chula Vista, CA, 919143561.
What is the East Lake Family Dentistry's area of specialization and corresponding taxonomy classification?
The East Lake Family Dentistry's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the East Lake Family Dentistry receive its 1508912858 assignment from the Centers for Medicare & Medicaid Services?
The East Lake Family Dentistry was assigned its 1508912858 by the Centers for Medicare & Medicaid Services on 2007-01-26.
As of what date was the information pertaining to East Lake Family Dentistry, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to East Lake Family Dentistry, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2020-08-22.
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