Takeshi Gary Ichikawa in Fairfield - General Practice
Takeshi Gary Ichikawa - NPI 1720137375
Takeshi Gary Ichikawa is a General Practice in Fairfield, California. Takeshi Gary Ichikawa practices all healthcare services and medical treatments related to General Practice. The NPI Number for Takeshi Gary Ichikawa is 1720137375. The last update date is 2011-12-29.
Takeshi Gary Ichikawa's current location address is 2101 Courage Dr, Fairfield, California. You can contact this provider via phone number 7077842121 and fax number 7077842126. The mailing address for Takeshi Gary Ichikawa is 2101 Courage Dr, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Takeshi Gary Ichikawa |
|---|---|
| Address | 2101 Courage Dr, Fairfield, California |
| Phone Number | 7077842121 |
| Fax Number | 7077842126 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1720137375 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2011-12-29 |
Provider Mailing Address Detail
| Address | 2101 Courage Dr |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945336717 |
| Phone Number | 7077842121 |
| Fax Number | 7077842126 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 30829 |
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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 Takeshi Gary Ichikawa's 1720137375?
The Takeshi Gary Ichikawa's NPI (National Provider Identifier) Number is 1720137375. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Takeshi Gary Ichikawa located?
The Takeshi Gary Ichikawa is located at 2101 Courage Dr, Fairfield, CA 945336717.
What is Takeshi Gary Ichikawa's specialized field of practice, and what is the corresponding taxonomy classification code?
The Takeshi Gary Ichikawa's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
On what date did the Takeshi Gary Ichikawa receive its 1720137375 assignment from the Centers for Medicare & Medicaid Services?
The Takeshi Gary Ichikawa was assigned its 1720137375 by the Centers for Medicare & Medicaid Services on 2007-01-10.
When was the Takeshi Gary Ichikawa's information last updated?
The Takeshi Gary Ichikawa's information was last updated on 2011-12-29.
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