Erika Fedyashov in San Carlos - General Practice

Erika Fedyashov - NPI 1184754079

Erika Fedyashov is a General Practice in San Carlos, California. Erika Fedyashov practices all healthcare services and medical treatments related to General Practice. The NPI Number for Erika Fedyashov is 1184754079. The last update date is 2007-07-08.

Erika Fedyashov's current location address is 124 Exeter Ave, San Carlos, California. You can contact this provider via phone number 6505939109. The mailing address for Erika Fedyashov is 124 Exeter Ave, San Carlos, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Erika Fedyashov
Address 124 Exeter Ave, San Carlos, California
Phone Number 6505939109
Fax Number
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1184754079
Provider Enumeration Date 2007-03-07
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 124 Exeter Ave
City San Carlos
State California (CA)
Post Code 94070
Phone Number 6505939109
Fax Number

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No 43005
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.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
D43005 CA --

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FAQs about Erika Fedyashov

What is the Erika Fedyashov's 1184754079?

The Erika Fedyashov's NPI (National Provider Identifier) Number is 1184754079. 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 physical address where Erika Fedyashov is located?

The Erika Fedyashov is situated at the following address: 124 Exeter Ave, San Carlos, CA, 94070.

What is Erika Fedyashov's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Erika Fedyashov is General Practice, and the taxonomy code that classifies this field of practice is 1223G0001X.

On what date did the Centers for Medicare & Medicaid Services issue the 1184754079 to Erika Fedyashov?

The Erika Fedyashov received its 1184754079 assignment from the Centers for Medicare & Medicaid Services on 2007-03-07.

When was the Erika Fedyashov's information last updated?

The Erika Fedyashov's information was last updated on 2007-07-08.

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