Bruce Valentine in Modesto - General Practice
Bruce Valentine - NPI 1629274899
Bruce Valentine is a General Practice in Modesto, California. Bruce Valentine practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bruce Valentine is 1629274899. The last update date is 2007-07-08.
Bruce Valentine's current location address is 1801 Tully Rd, Modesto, California. You can contact this provider via phone number 2095260982 and fax number 2095271971. The mailing address for Bruce Valentine is 1801 Tully Rd, Modesto, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Valentine |
|---|---|
| Address | 1801 Tully Rd, Modesto, California |
| Phone Number | 2095260982 |
| Fax Number | 2095271971 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629274899 |
|---|---|
| Provider Enumeration Date | 2007-06-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1801 Tully Rd |
|---|---|
| City | Modesto |
| State | California (CA) |
| Post Code | 953502931 |
| Phone Number | 2095260982 |
| Fax Number | 2095271971 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 20789 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 20789 | CA | DENTAL LICENSE | |
| 236914 | CA | DENTI-CAL |
Post Comment/ Review Below
What is the Bruce Valentine's unique identification number?
The Bruce Valentine has been assigned the NPI (National Provider Identifier) Number 1629274899 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Bruce Valentine?
The Bruce Valentine is situated at 1801 Tully Rd, in the city of Modesto, state of CA, with the zip code 953502931.
What is Bruce Valentine's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Bruce Valentine is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date was the 1629274899 assigned to Bruce Valentine?
The Bruce Valentine was issued its 1629274899 on 2007-06-25, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Bruce Valentine most recently updated or revised?
The information pertaining to Bruce Valentine, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.