Mervin L. Ellstrom Dds, Inc in Moreno Valley - General Practice
Mervin L. Ellstrom Dds, Inc - NPI 1912121781
Mervin L. Ellstrom Dds, Inc is a General Practice in Moreno Valley, California. Mervin L. Ellstrom Dds, Inc practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mervin L. Ellstrom Dds, Inc is 1912121781. The last update date is 2010-01-07.
Mervin L. Ellstrom Dds, Inc's current location address is 12900 Perris Blvd, Moreno Valley, California. You can contact this provider via phone number 9512423431 and fax number 9512427570. The mailing address for Mervin L. Ellstrom Dds, Inc is 12900 Perris Blvd, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mervin L. Ellstrom Dds, Inc |
|---|---|
| Address | 12900 Perris Blvd, Moreno Valley, California |
| Phone Number | 9512423431 |
| Fax Number | 9512427570 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER PRES |
|---|---|
| Authorized Official Name | Ellstrom L Mervin |
| Credentials | D.D.S. |
| Telephone Number | 9512423431 |
NPI Number Detail
| NPI Number | 1912121781 |
|---|---|
| Provider Enumeration Date | 2007-04-12 |
| Last Updated Date | 2010-01-07 |
Provider Mailing Address Detail
| Address | 12900 Perris Blvd |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925534135 |
| Phone Number | 9512423431 |
| Fax Number | 9512427570 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 24928 |
|
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. |
|
Post Comment/ Review Below
What is the unique identifier code issued to Mervin L. Ellstrom Dds, Inc by the Centers for Medicare & Medicaid Services (CMS)?
The Mervin L. Ellstrom Dds, Inc has been assigned the NPI (National Provider Identifier) 1912121781. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you share the physical location details of Mervin L. Ellstrom Dds, Inc?
The Mervin L. Ellstrom Dds, Inc is situated at 12900 Perris Blvd, in the city of Moreno Valley, state of CA, with the zip code 925534135.
What is Mervin L. Ellstrom Dds, Inc's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Mervin L. Ellstrom Dds, Inc is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When did Mervin L. Ellstrom Dds, Inc receive its 1912121781 assignment?
The Mervin L. Ellstrom Dds, Inc was assigned its 1912121781 on 2007-04-12, which is the date when this unique identifier was issued to the organization.
As of what date were the Mervin L. Ellstrom Dds, Inc's details last updated?
The information pertaining to the Mervin L. Ellstrom Dds, Inc, including its address, specialty, and other details, was most recently updated on 2010-01-07.