John Andrew Wakeman in Pismo Beach - General Practice
John Andrew Wakeman - NPI 1063505832
John Andrew Wakeman is a General Practice in Pismo Beach, California. John Andrew Wakeman practices all healthcare services and medical treatments related to General Practice. The NPI Number for John Andrew Wakeman is 1063505832. The last update date is 2021-12-09.
John Andrew Wakeman's current location address is 1090 Dolliver St, Pismo Beach, California. You can contact this provider via phone number 8057732500. The mailing address for John Andrew Wakeman is 1090 Dolliver St, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Andrew Wakeman |
|---|---|
| Address | 1090 Dolliver St, Pismo Beach, California |
| Phone Number | 8057732500 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1063505832 |
|---|---|
| Provider Enumeration Date | 2006-10-02 |
| Last Updated Date | 2021-12-09 |
Provider Mailing Address Detail
| Address | 1090 Dolliver St |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934492508 |
| Phone Number | 8057732500 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 54315 |
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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 John Andrew Wakeman's 1063505832?
The John Andrew Wakeman's NPI (National Provider Identifier) Number is 1063505832. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where John Andrew Wakeman is physically located?
The John Andrew Wakeman is situated at the following address: 1090 Dolliver St, Pismo Beach, CA 934492508.
What is John Andrew Wakeman's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The John Andrew Wakeman's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1063505832 to John Andrew Wakeman?
The Centers for Medicare & Medicaid Services originally issued the 1063505832 to John Andrew Wakeman on 2006-10-02.
As of what date were the John Andrew Wakeman's details last updated?
The information pertaining to the John Andrew Wakeman, including its address, specialty, and other details, was most recently updated on 2021-12-09.