David A Straub in Petaluma - General Practice
David A Straub - NPI 1902008204
David A Straub is a General Practice in Petaluma, California. David A Straub practices all healthcare services and medical treatments related to General Practice. The NPI Number for David A Straub is 1902008204. The last update date is 2007-07-08.
David A Straub's current location address is 619 Elm Dr, Petaluma, California. You can contact this provider via phone number 7077788787 and fax number 7077789938. The mailing address for David A Straub is 619 Elm Dr, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David A Straub |
|---|---|
| Address | 619 Elm Dr, Petaluma, California |
| Phone Number | 7077788787 |
| Fax Number | 7077789938 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1902008204 |
|---|---|
| Provider Enumeration Date | 2007-05-31 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 619 Elm Dr |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949521844 |
| Phone Number | 7077788787 |
| Fax Number | 7077789938 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 32768 |
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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 David A Straub's 1902008204?
The David A Straub's NPI (National Provider Identifier) Number is 1902008204. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the David A Straub's physical address?
The David A Straub is physically located at 619 Elm Dr, in the city of Petaluma, CA, with the postal code 949521844.
What is the David A Straub's area of specialization and corresponding taxonomy classification?
The David A Straub'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 David A Straub receive its 1902008204 assignment from the Centers for Medicare & Medicaid Services?
The David A Straub was assigned its 1902008204 by the Centers for Medicare & Medicaid Services on 2007-05-31.
When was the information pertaining to David A Straub most recently updated or revised?
The details related to David A Straub, including its address, specialty, and other relevant information, were last updated or revised on 2007-07-08.
NPI Number: 1982607495
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