Benjamin Paul Pelka in Gold River - General Practice
Benjamin Paul Pelka - NPI 1770607566
Benjamin Paul Pelka is a General Practice in Gold River, California. Benjamin Paul Pelka practices all healthcare services and medical treatments related to General Practice. The NPI Number for Benjamin Paul Pelka is 1770607566. The last update date is 2007-07-08.
Benjamin Paul Pelka's current location address is 11230 Gold Express Dr, Gold River, California. You can contact this provider via phone number 9166359605 and fax number 9166359047. The mailing address for Benjamin Paul Pelka is 11230 Gold Express Dr, Gold River, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Benjamin Paul Pelka |
|---|---|
| Address | 11230 Gold Express Dr, Gold River, California |
| Phone Number | 9166359605 |
| Fax Number | 9166359047 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1770607566 |
|---|---|
| Provider Enumeration Date | 2007-03-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11230 Gold Express Dr |
|---|---|
| City | Gold River |
| State | California (CA) |
| Post Code | 956704484 |
| Phone Number | 9166359605 |
| Fax Number | 9166359047 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 28062 |
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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 provider identifier assigned to Benjamin Paul Pelka?
The Benjamin Paul Pelka has been issued the NPI (National Provider Identifier) 1770607566 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Benjamin Paul Pelka?
The Benjamin Paul Pelka is physically situated at 11230 Gold Express Dr, in the city of Gold River, state of CA, with the postal code 956704484.
What is the area of specialization for Benjamin Paul Pelka, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Benjamin Paul Pelka is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did Benjamin Paul Pelka receive its 1770607566 assignment from the Centers for Medicare & Medicaid Services?
The Benjamin Paul Pelka was assigned its 1770607566 on 2007-03-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Benjamin Paul Pelka's details last updated?
The information pertaining to the Benjamin Paul Pelka, including its address, specialty, and other details, was most recently updated on 2007-07-08.
NPI Number: 1356344279
Address: Mount St. Mary's Hospital Laboratory, Lewiston, NY