Theodore Rist in Novato - General Practice

Theodore Rist - NPI 1295898245

Theodore Rist is a General Practice in Novato, California. Theodore Rist practices all healthcare services and medical treatments related to General Practice. The NPI Number for Theodore Rist is 1295898245. The last update date is 2007-07-08.

Theodore Rist's current location address is 1730 Novato Blvd Ste F, Novato, California. You can contact this provider via phone number 4158923761. The mailing address for Theodore Rist is 1730 Novato Blvd Ste F, Novato, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Theodore Rist
Address 1730 Novato Blvd Ste F, Novato, California
Phone Number 4158923761
Fax Number
Sole Proprietor Y
Credentials D.D.S.

NPI Number Detail

NPI Number 1295898245
Provider Enumeration Date 2006-12-19
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 1730 Novato Blvd Ste F
City Novato
State California (CA)
Post Code 949473048
Phone Number 4158923761
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 31850
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 Theodore Rist

What is the unique provider identifier assigned to Theodore Rist?

The Theodore Rist has been issued the NPI (National Provider Identifier) 1295898245 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please share the complete physical address where Theodore Rist is geographically located?

The Theodore Rist is physically situated at the following location: 1730 Novato Blvd Ste F, Novato, CA, 949473048.

What is Theodore Rist's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Theodore Rist's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.

When was the Theodore Rist's 1295898245 issued?

The Theodore Rist's 1295898245 was issued on 2006-12-19.

As of what date were the details related to Theodore Rist most recently updated or revised?

The information pertaining to Theodore Rist, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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