Tad Alan Erickson in Oak Park - General Practice
Tad Alan Erickson - NPI 1083798805
Tad Alan Erickson is a General Practice in Oak Park, California. Tad Alan Erickson practices all healthcare services and medical treatments related to General Practice. The NPI Number for Tad Alan Erickson is 1083798805. The last update date is 2007-07-08.
Tad Alan Erickson's current location address is 346 Kanan Rd, Oak Park, California. You can contact this provider via phone number 8188892254 and fax number 8188890636. The mailing address for Tad Alan Erickson is 346 Kanan Rd, Oak Park, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tad Alan Erickson |
|---|---|
| Address | 346 Kanan Rd, Oak Park, California |
| Phone Number | 8188892254 |
| Fax Number | 8188890636 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1083798805 |
|---|---|
| Provider Enumeration Date | 2006-10-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 346 Kanan Rd |
|---|---|
| City | Oak Park |
| State | California (CA) |
| Post Code | 913771100 |
| Phone Number | 8188892254 |
| Fax Number | 8188890636 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 31250 |
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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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What is the unique 10-digit identifier code assigned to Tad Alan Erickson by the Centers for Medicare & Medicaid Services?
The Tad Alan Erickson has been issued the NPI (National Provider Identifier) 1083798805 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Tad Alan Erickson?
The Tad Alan Erickson is situated at 346 Kanan Rd, in the city of Oak Park, state of CA, with the zip code 913771100.
What is the Tad Alan Erickson's area of specialization and corresponding taxonomy classification?
The Tad Alan Erickson's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1083798805 to Tad Alan Erickson?
The Centers for Medicare & Medicaid Services originally issued the 1083798805 to Tad Alan Erickson on 2006-10-25.
As of what date was the information regarding Tad Alan Erickson, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Tad Alan Erickson, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.