Mark R Medina & Thomas Kerrian in San Diego - General Practice
Mark R Medina & Thomas Kerrian - NPI 1417062472
Mark R Medina & Thomas Kerrian is a General Practice in San Diego, California. Mark R Medina & Thomas Kerrian practices all healthcare services and medical treatments related to General Practice. The NPI Number for Mark R Medina & Thomas Kerrian is 1417062472. The last update date is 2008-07-17.
Mark R Medina & Thomas Kerrian's current location address is 9955 Carmel Mountain Rd Ste 4, San Diego, California. You can contact this provider via phone number 8584843100 and fax number 8584848510. The mailing address for Mark R Medina & Thomas Kerrian is 9955 Carmel Mountain Rd Ste 4, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Mark R Medina & Thomas Kerrian |
|---|---|
| Address | 9955 Carmel Mountain Rd Ste 4, San Diego, California |
| Phone Number | 8584843100 |
| Fax Number | 8584848510 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Kerrian J Thomas |
| Credentials | D.M.D. |
| Telephone Number | 8584843100 |
NPI Number Detail
| NPI Number | 1417062472 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2008-07-17 |
Provider Mailing Address Detail
| Address | 9955 Carmel Mountain Rd Ste 4 |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921292815 |
| Phone Number | 8584843100 |
| Fax Number | 8584848510 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 25595 |
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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 |
|---|---|---|---|
| 25595 | CA | STATE ID | |
| 31129 | CA | STATE ID |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Mark R Medina & Thomas Kerrian by the Centers for Medicare & Medicaid Services?
The Mark R Medina & Thomas Kerrian has been issued the NPI (National Provider Identifier) 1417062472, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Mark R Medina & Thomas Kerrian is physically located?
The Mark R Medina & Thomas Kerrian is situated at the following address: 9955 Carmel Mountain Rd Ste 4, San Diego, CA 921292815.
What is Mark R Medina & Thomas Kerrian's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Mark R Medina & Thomas Kerrian is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When was the Mark R Medina & Thomas Kerrian's 1417062472 issued?
The Mark R Medina & Thomas Kerrian's 1417062472 was issued on 2006-08-20.
When was the information pertaining to Mark R Medina & Thomas Kerrian most recently updated or revised?
The details related to Mark R Medina & Thomas Kerrian, including its address, specialty, and other relevant information, were last updated or revised on 2008-07-17.
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