Keith Kanegawa, Dmd Professional Dental Corporation in Lodi - General Practice
Keith Kanegawa, Dmd Professional Dental Corporation - NPI 1538181425
Keith Kanegawa, Dmd Professional Dental Corporation is a General Practice in Lodi, California. Keith Kanegawa, Dmd Professional Dental Corporation practices all healthcare services and medical treatments related to General Practice. The NPI Number for Keith Kanegawa, Dmd Professional Dental Corporation is 1538181425. The last update date is 2020-08-22.
Keith Kanegawa, Dmd Professional Dental Corporation's current location address is 600 S Fairmont Ave, Lodi, California. You can contact this provider via phone number 2093693114. The mailing address for Keith Kanegawa, Dmd Professional Dental Corporation is 600 S Fairmont Ave, Lodi, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Keith Kanegawa, Dmd Professional Dental Corporation |
|---|---|
| Address | 600 S Fairmont Ave, Lodi, California |
| Phone Number | 2093693114 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Kanegawa Keith |
| Credentials | DMD |
| Telephone Number | 2093693114 |
NPI Number Detail
| NPI Number | 1538181425 |
|---|---|
| Provider Enumeration Date | 2006-07-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 600 S Fairmont Ave |
|---|---|
| City | Lodi |
| State | California (CA) |
| Post Code | 952403835 |
| Phone Number | 2093693114 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 29318 |
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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 Keith Kanegawa, Dmd Professional Dental Corporation's unique identification number?
The Keith Kanegawa, Dmd Professional Dental Corporation has been assigned the NPI (National Provider Identifier) Number 1538181425 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please share the complete physical address where Keith Kanegawa, Dmd Professional Dental Corporation is geographically located?
The Keith Kanegawa, Dmd Professional Dental Corporation is physically situated at the following location: 600 S Fairmont Ave, Lodi, CA, 952403835.
What is Keith Kanegawa, Dmd Professional Dental Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Keith Kanegawa, Dmd Professional Dental Corporation is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1538181425 to Keith Kanegawa, Dmd Professional Dental Corporation?
The Keith Kanegawa, Dmd Professional Dental Corporation received its 1538181425 assignment from the Centers for Medicare & Medicaid Services on 2006-07-23.
As of what date were the details related to Keith Kanegawa, Dmd Professional Dental Corporation most recently updated or revised?
The information pertaining to Keith Kanegawa, Dmd Professional Dental Corporation, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.