Watanabe Shadow Mountain Dental Group, Professional Corporation in Irvine - General Practice
Watanabe Shadow Mountain Dental Group, Professional Corporation - NPI 1427238534
Watanabe Shadow Mountain Dental Group, Professional Corporation is a General Practice in Irvine, California. Watanabe Shadow Mountain Dental Group, Professional Corporation practices all healthcare services and medical treatments related to General Practice. The NPI Number for Watanabe Shadow Mountain Dental Group, Professional Corporation is 1427238534. The last update date is 2007-11-07.
Watanabe Shadow Mountain Dental Group, Professional Corporation's current location address is 2860 Michelle, Irvine, California. You can contact this provider via phone number 7145083600 and fax number 7143682092. The mailing address for Watanabe Shadow Mountain Dental Group, Professional Corporation is 2860 Michelle, Irvine, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Watanabe Shadow Mountain Dental Group, Professional Corporation |
|---|---|
| Address | 2860 Michelle, Irvine, California |
| Phone Number | 7145083600 |
| Fax Number | 7143682092 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER DOCT |
|---|---|
| Authorized Official Name | Watanabe C Lynda |
| Credentials | DDS |
| Telephone Number | 7025771941 |
NPI Number Detail
| NPI Number | 1427238534 |
|---|---|
| Provider Enumeration Date | 2007-11-06 |
| Last Updated Date | 2007-11-07 |
Provider Mailing Address Detail
| Address | 2860 Michelle |
|---|---|
| City | Irvine |
| State | California (CA) |
| Post Code | 926061009 |
| Phone Number | 7145083600 |
| Fax Number | 7143682092 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
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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 identifier code issued to Watanabe Shadow Mountain Dental Group, Professional Corporation by the Centers for Medicare & Medicaid Services (CMS)?
The Watanabe Shadow Mountain Dental Group, Professional Corporation has been assigned the NPI (National Provider Identifier) 1427238534. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you please share the complete physical location address where Watanabe Shadow Mountain Dental Group, Professional Corporation's facilities are situated?
The facilities of Watanabe Shadow Mountain Dental Group, Professional Corporation are physically located at the following address: 2860 Michelle, Irvine, CA, 926061009.
What is Watanabe Shadow Mountain Dental Group, Professional Corporation's area of expertise and its corresponding taxonomy classification?
The Watanabe Shadow Mountain Dental Group, Professional Corporation'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.
On what date did the Watanabe Shadow Mountain Dental Group, Professional Corporation receive the assignment of its 1427238534 from the Centers for Medicare & Medicaid Services?
The Watanabe Shadow Mountain Dental Group, Professional Corporation was issued its 1427238534 by the Centers for Medicare & Medicaid Services on 2007-11-06.
As of what date was the information regarding Watanabe Shadow Mountain Dental Group, Professional Corporation, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Watanabe Shadow Mountain Dental Group, Professional Corporation, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-11-07.