Jeffrey Brent Beagle in Los Altos - General Practice

Jeffrey Brent Beagle - NPI 1093836645

Jeffrey Brent Beagle is a General Practice in Los Altos, California. Jeffrey Brent Beagle practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jeffrey Brent Beagle is 1093836645. The last update date is 2007-07-08.

Jeffrey Brent Beagle's current location address is 826 Altos Oaks Dr # 2, Los Altos, California. You can contact this provider via phone number 6509488400 and fax number 6509484827. The mailing address for Jeffrey Brent Beagle is 826 Altos Oaks Dr # 2, Los Altos, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jeffrey Brent Beagle
Address 826 Altos Oaks Dr # 2, Los Altos, California
Phone Number 6509488400
Fax Number 6509484827
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1093836645
Provider Enumeration Date 2007-04-02
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 826 Altos Oaks Dr # 2
City Los Altos
State California (CA)
Post Code 940245403
Phone Number 6509488400
Fax Number 6509484827

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 31441
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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FAQs about Jeffrey Brent Beagle

What is the Jeffrey Brent Beagle's unique identification number?

The Jeffrey Brent Beagle has been assigned the NPI (National Provider Identifier) Number 1093836645 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.

Could you please provide the complete street address where Jeffrey Brent Beagle is physically located?

The Jeffrey Brent Beagle is physically situated at the following address: 826 Altos Oaks Dr # 2, Los Altos, CA, 940245403.

What is Jeffrey Brent Beagle's area of expertise and its corresponding taxonomy classification?

The Jeffrey Brent Beagle'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 Centers for Medicare & Medicaid Services issue the 1093836645 to Jeffrey Brent Beagle?

The Jeffrey Brent Beagle received its 1093836645 assignment from the Centers for Medicare & Medicaid Services on 2007-04-02.

As of what date were the details pertaining to Jeffrey Brent Beagle last refreshed?

The information related to the Jeffrey Brent Beagle, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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