Samuel David Berke in Fullerton - General Practice
Samuel David Berke - NPI 1790859072
Samuel David Berke is a General Practice in Fullerton, California. Samuel David Berke practices all healthcare services and medical treatments related to General Practice. The NPI Number for Samuel David Berke is 1790859072. The last update date is 2007-07-09.
Samuel David Berke's current location address is 701 S Raymond Ave, Fullerton, California. You can contact this provider via phone number 7149922999 and fax number 7149920759. The mailing address for Samuel David Berke is 701 S Raymond Ave, Fullerton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Samuel David Berke |
|---|---|
| Address | 701 S Raymond Ave, Fullerton, California |
| Phone Number | 7149922999 |
| Fax Number | 7149920759 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790859072 |
|---|---|
| Provider Enumeration Date | 2006-11-20 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 701 S Raymond Ave |
|---|---|
| City | Fullerton |
| State | California (CA) |
| Post Code | 928315201 |
| Phone Number | 7149922999 |
| Fax Number | 7149920759 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 26255 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| B26255-01 | CA | -- | |
| 26255 | CA | LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Samuel David Berke by the Centers for Medicare & Medicaid Services?
The Samuel David Berke has been issued the NPI (National Provider Identifier) 1790859072, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Samuel David Berke is physically located?
The Samuel David Berke is physically situated at the following address: 701 S Raymond Ave, Fullerton, CA, 928315201.
What is Samuel David Berke's area of expertise and its corresponding taxonomy classification?
The Samuel David Berke's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
When did the Samuel David Berke receive its 1790859072?
The Samuel David Berke was issued its 1790859072 on 2006-11-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Samuel David Berke, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Samuel David Berke, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-09.