John R Dagostino in Hacienda Hieghts - General Practice

John R Dagostino - NPI 1407912181

John R Dagostino is a General Practice in Hacienda Hieghts, California. John R Dagostino practices all healthcare services and medical treatments related to General Practice. The NPI Number for John R Dagostino is 1407912181. The last update date is 2007-07-08.

John R Dagostino's current location address is 15925 East Gale Ave, Hacienda Hieghts, California. You can contact this provider via phone number 6263366401 and fax number 6263365394. The mailing address for John R Dagostino is 15925 East Gale Ave, Hacienda Hieghts, California. To know further, please read the information below!

Provider Profile Detail

Provider Name John R Dagostino
Address 15925 East Gale Ave, Hacienda Hieghts, California
Phone Number 6263366401
Fax Number 6263365394
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1407912181
Provider Enumeration Date 2006-12-28
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 15925 East Gale Ave
City Hacienda Hieghts
State California (CA)
Post Code 91745
Phone Number 6263366401
Fax Number 6263365394

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 30427
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B3042701 CA MEDICAL #

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FAQs about John R Dagostino

What is the unique 10-digit identification code assigned to John R Dagostino by the Centers for Medicare & Medicaid Services?

The John R Dagostino has been issued the NPI (National Provider Identifier) 1407912181, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where John R Dagostino is physically located?

The John R Dagostino is situated at the following address: 15925 East Gale Ave, Hacienda Hieghts, CA 91745.

What is John R Dagostino's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for John R Dagostino is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the John R Dagostino receive the assignment of its 1407912181 from the Centers for Medicare & Medicaid Services?

The John R Dagostino was issued its 1407912181 by the Centers for Medicare & Medicaid Services on 2006-12-28.

When was the information pertaining to John R Dagostino most recently updated or revised?

The details related to John R Dagostino, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.

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