Jefferson Davis Causey in Novato - General Practice

Jefferson Davis Causey - NPI 1053339382

Jefferson Davis Causey is a General Practice in Novato, California. Jefferson Davis Causey practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jefferson Davis Causey is 1053339382. The last update date is 2007-07-08.

Jefferson Davis Causey's current location address is 7595 Redwood Blvd, Novato, California. You can contact this provider via phone number 4158920109 and fax number 4158977529. The mailing address for Jefferson Davis Causey is 7595 Redwood Blvd, Novato, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Jefferson Davis Causey
Address 7595 Redwood Blvd, Novato, California
Phone Number 4158920109
Fax Number 4158977529
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1053339382
Provider Enumeration Date 2006-07-17
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 7595 Redwood Blvd
City Novato
State California (CA)
Post Code 949457700
Phone Number 4158920109
Fax Number 4158977529

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 18533
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
B18533-01 CA DENTI-CAL PROVIDER NUMBER

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FAQs about Jefferson Davis Causey

What is the unique provider identifier assigned to Jefferson Davis Causey?

The Jefferson Davis Causey has been issued the NPI (National Provider Identifier) 1053339382 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you provide the complete physical address where Jefferson Davis Causey is located?

The Jefferson Davis Causey is situated at the following address: 7595 Redwood Blvd, Novato, CA, 949457700.

What is the area of specialization for Jefferson Davis Causey, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Jefferson Davis Causey is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1053339382 to Jefferson Davis Causey?

The Centers for Medicare & Medicaid Services originally issued the 1053339382 to Jefferson Davis Causey on 2006-07-17.

As of what date were the details pertaining to Jefferson Davis Causey last refreshed?

The information related to the Jefferson Davis Causey, including its address, specialty, and other relevant details, was last updated on 2007-07-08.

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