Clelen Clarence Tanner in Hayward - General Practice
Clelen Clarence Tanner - NPI 1215080445
Clelen Clarence Tanner is a General Practice in Hayward, California. Clelen Clarence Tanner practices all healthcare services and medical treatments related to General Practice. The NPI Number for Clelen Clarence Tanner is 1215080445. The last update date is 2007-07-08.
Clelen Clarence Tanner's current location address is 21911 Foothill Blvd, Hayward, California. You can contact this provider via phone number 5107331455 and fax number 5108898395. The mailing address for Clelen Clarence Tanner is 21911 Foothill Blvd, Hayward, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Clelen Clarence Tanner |
|---|---|
| Address | 21911 Foothill Blvd, Hayward, California |
| Phone Number | 5107331455 |
| Fax Number | 5108898395 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215080445 |
|---|---|
| Provider Enumeration Date | 2007-01-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 21911 Foothill Blvd |
|---|---|
| City | Hayward |
| State | California (CA) |
| Post Code | 945412118 |
| Phone Number | 5107331455 |
| Fax Number | 5108898395 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 26003 |
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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 Clelen Clarence Tanner by the Centers for Medicare & Medicaid Services?
The Clelen Clarence Tanner has been issued the NPI (National Provider Identifier) 1215080445. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Clelen Clarence Tanner is physically located?
The Clelen Clarence Tanner is situated at the following address: 21911 Foothill Blvd, Hayward, CA 945412118.
What is Clelen Clarence Tanner's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Clelen Clarence Tanner is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Clelen Clarence Tanner receive its 1215080445 assignment from the Centers for Medicare & Medicaid Services?
The Clelen Clarence Tanner was assigned its 1215080445 by the Centers for Medicare & Medicaid Services on 2007-01-19.
As of what date was the information regarding Clelen Clarence Tanner, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Clelen Clarence Tanner, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.