Michael Luke Vista in San Bruno - General Practice
Michael Luke Vista - NPI 1902008568
Michael Luke Vista is a General Practice in San Bruno, California. Michael Luke Vista practices all healthcare services and medical treatments related to General Practice. The NPI Number for Michael Luke Vista is 1902008568. The last update date is 2007-07-08.
Michael Luke Vista's current location address is 1950 Spyglass Dr, San Bruno, California. You can contact this provider via phone number 6503557230. The mailing address for Michael Luke Vista is 1950 Spyglass Dr, San Bruno, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Michael Luke Vista |
|---|---|
| Address | 1950 Spyglass Dr, San Bruno, California |
| Phone Number | 6503557230 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1902008568 |
|---|---|
| Provider Enumeration Date | 2007-06-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1950 Spyglass Dr |
|---|---|
| City | San Bruno |
| State | California (CA) |
| Post Code | 940661048 |
| Phone Number | 6503557230 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 54444 |
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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 |
|---|---|---|---|
| 54444 | CA | DENTAL LICENSE NUMBER |
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What is the Michael Luke Vista's 1902008568?
The Michael Luke Vista's NPI (National Provider Identifier) Number is 1902008568. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Where is the Michael Luke Vista located?
The Michael Luke Vista is located at 1950 Spyglass Dr, San Bruno, CA 940661048.
What is the area of specialization for Michael Luke Vista, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Michael Luke Vista is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date was the 1902008568 assigned to Michael Luke Vista?
The Michael Luke Vista was issued its 1902008568 on 2007-06-04, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Michael Luke Vista's details last updated?
The information pertaining to the Michael Luke Vista, including its address, specialty, and other details, was most recently updated on 2007-07-08.
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