Kenneth M Fedor in San Diego - General Practice
Kenneth M Fedor - NPI 1700812393
Kenneth M Fedor is a General Practice in San Diego, California. Kenneth M Fedor practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kenneth M Fedor is 1700812393. The last update date is 2007-07-08.
Kenneth M Fedor's current location address is 3350 La Jolla Village Dr, San Diego, California. You can contact this provider via phone number 8585577525 and fax number 8585527507. The mailing address for Kenneth M Fedor is 3350 La Jolla Village Dr, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth M Fedor |
|---|---|
| Address | 3350 La Jolla Village Dr, San Diego, California |
| Phone Number | 8585577525 |
| Fax Number | 8585527507 |
| Sole Proprietor | X |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1700812393 |
|---|---|
| Provider Enumeration Date | 2006-06-24 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3350 La Jolla Village Dr |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921610002 |
| Phone Number | 8585577525 |
| Fax Number | 8585527507 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 39400 |
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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 unique 10-digit identifier code assigned to Kenneth M Fedor by the Centers for Medicare & Medicaid Services?
The Kenneth M Fedor has been issued the NPI (National Provider Identifier) 1700812393 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Kenneth M Fedor?
The Kenneth M Fedor is physically situated at 3350 La Jolla Village Dr, in the city of San Diego, state of CA, with the postal code 921610002.
What is Kenneth M Fedor's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Kenneth M Fedor'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 Kenneth M Fedor receive its 1700812393 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth M Fedor was assigned its 1700812393 on 2006-06-24, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Kenneth M Fedor's details last updated?
The information pertaining to the Kenneth M Fedor, including its address, specialty, and other details, was most recently updated on 2007-07-08.