Duane Nowack A Professional Dental Corporation in Ramona - General Practice
Duane Nowack A Professional Dental Corporation - NPI 1780738203
Duane Nowack A Professional Dental Corporation is a General Practice in Ramona, California. Duane Nowack A Professional Dental Corporation practices all healthcare services and medical treatments related to General Practice. The NPI Number for Duane Nowack A Professional Dental Corporation is 1780738203. The last update date is 2020-08-22.
Duane Nowack A Professional Dental Corporation's current location address is 1721 Main St Ste 108, Ramona, California. You can contact this provider via phone number 7607897002. The mailing address for Duane Nowack A Professional Dental Corporation is 1721 Main St Ste 108, Ramona, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Duane Nowack A Professional Dental Corporation |
|---|---|
| Address | 1721 Main St Ste 108, Ramona, California |
| Phone Number | 7607897002 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Nowack C Duane |
| Credentials | D.D.S. |
| Telephone Number | 7607897002 |
NPI Number Detail
| NPI Number | 1780738203 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1721 Main St Ste 108 |
|---|---|
| City | Ramona |
| State | California (CA) |
| Post Code | 920652240 |
| Phone Number | 7607897002 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 15103 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 541022 | CA | PROV. # UNITED CONCORDIA | |
| B-15103-01 | CA | MEDI- CAL |
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What is the Duane Nowack A Professional Dental Corporation's unique identification number?
The Duane Nowack A Professional Dental Corporation has been assigned the NPI (National Provider Identifier) Number 1780738203 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Duane Nowack A Professional Dental Corporation's physical address?
The Duane Nowack A Professional Dental Corporation is physically located at 1721 Main St Ste 108, in the city of Ramona, CA, with the postal code 920652240.
What is Duane Nowack A Professional Dental Corporation's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Duane Nowack A Professional Dental Corporation is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.
When did Duane Nowack A Professional Dental Corporation receive its 1780738203 assignment?
The Duane Nowack A Professional Dental Corporation was assigned its 1780738203 on 2007-01-22, which is the date when this unique identifier was issued to the organization.
When was the information pertaining to Duane Nowack A Professional Dental Corporation most recently updated or revised?
The details related to Duane Nowack A Professional Dental Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA