Nick Pavlov is a General Practice in La Jolla, California. Nick Pavlov practices all healthcare services and medical treatments related to General Practice. The NPI Number for Nick Pavlov is 1154355741. The last update date is 2018-03-17.
Nick Pavlov's current location address is 470 Nautilus St, La Jolla, California. You can contact this provider via phone number 8584595591 and fax number 8584594242. The mailing address for Nick Pavlov is 470 Nautilus St, La Jolla, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Nick Pavlov |
|---|---|
| Address | 470 Nautilus St, La Jolla, California |
| Phone Number | 8584595591 |
| Fax Number | 8584594242 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1154355741 |
|---|---|
| Provider Enumeration Date | 2006-07-10 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 470 Nautilus St |
|---|---|
| City | La Jolla |
| State | California (CA) |
| Post Code | 920375969 |
| Phone Number | 8584595591 |
| Fax Number | 8584594242 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 44055 |
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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 10-digit identification code issued to Nick Pavlov by the Centers for Medicare & Medicaid Services?
The Nick Pavlov has been assigned the NPI (National Provider Identifier) 1154355741 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Nick Pavlov's facilities are situated?
The facilities of Nick Pavlov are physically located at the following address: 470 Nautilus St, La Jolla, CA, 920375969.
What is Nick Pavlov's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Nick Pavlov is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did Nick Pavlov receive its 1154355741 assignment from the Centers for Medicare & Medicaid Services?
The Nick Pavlov was assigned its 1154355741 on 2006-07-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Nick Pavlov, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Nick Pavlov, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2018-03-17.