San Dimas Dental Group in Glendora - General Practice
San Dimas Dental Group - NPI 1902013550
San Dimas Dental Group is a General Practice in Glendora, California. San Dimas Dental Group practices all healthcare services and medical treatments related to General Practice. The NPI Number for San Dimas Dental Group is 1902013550. The last update date is 2008-07-31.
San Dimas Dental Group's current location address is 2220 E Route 66 Ste 107, Glendora, California. You can contact this provider via phone number 6268574702 and fax number 6268574703. The mailing address for San Dimas Dental Group is 2220 E Route 66 Ste 107, Glendora, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | San Dimas Dental Group |
|---|---|
| Address | 2220 E Route 66 Ste 107, Glendora, California |
| Phone Number | 6268574702 |
| Fax Number | 6268574703 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | MANAGING P |
|---|---|
| Authorized Official Name | Bunkers P John |
| Credentials | DDS |
| Telephone Number | 6268574702 |
NPI Number Detail
| NPI Number | 1902013550 |
|---|---|
| Provider Enumeration Date | 2007-05-16 |
| Last Updated Date | 2008-07-31 |
Provider Mailing Address Detail
| Address | 2220 E Route 66 Ste 107 |
|---|---|
| City | Glendora |
| State | California (CA) |
| Post Code | 917407600 |
| Phone Number | 6268574702 |
| Fax Number | 6268574703 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 27592 |
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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 unique identification code assigned to San Dimas Dental Group by the Centers for Medicare & Medicaid Services?
The San Dimas Dental Group has been issued the NPI (National Provider Identifier) 1902013550. 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 San Dimas Dental Group is geographically located?
The San Dimas Dental Group is physically situated at the following location: 2220 E Route 66 Ste 107, Glendora, CA, 917407600.
What is San Dimas Dental Group's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for San Dimas Dental Group is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services assign the 1902013550 to San Dimas Dental Group?
The Centers for Medicare & Medicaid Services assigned the 1902013550 to San Dimas Dental Group on 2007-05-16.
As of what date was the information regarding San Dimas Dental Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to San Dimas Dental Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2008-07-31.
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