David M. Ichimura in San Jose - General Practice
David M. Ichimura - NPI 1417082041
David M. Ichimura is a General Practice in San Jose, California. David M. Ichimura practices all healthcare services and medical treatments related to General Practice. The NPI Number for David M. Ichimura is 1417082041. The last update date is 2007-07-08.
David M. Ichimura's current location address is 2400 Moorpark Ave Ste 110, San Jose, California. You can contact this provider via phone number 4082861276. The mailing address for David M. Ichimura is 2400 Moorpark Ave Ste 110, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | David M. Ichimura |
|---|---|
| Address | 2400 Moorpark Ave Ste 110, San Jose, California |
| Phone Number | 4082861276 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1417082041 |
|---|---|
| Provider Enumeration Date | 2007-02-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2400 Moorpark Ave Ste 110 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282623 |
| Phone Number | 4082861276 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 40248 |
|
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. |
|
Post Comment/ Review Below
What is the unique identification code assigned to David M. Ichimura by the Centers for Medicare & Medicaid Services?
The David M. Ichimura has been issued the NPI (National Provider Identifier) 1417082041. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of David M. Ichimura?
The David M. Ichimura is situated at 2400 Moorpark Ave Ste 110, in the city of San Jose, state of CA, with the zip code 951282623.
What is the area of specialization for David M. Ichimura, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for David M. Ichimura is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1417082041 to David M. Ichimura?
The David M. Ichimura received its 1417082041 assignment from the Centers for Medicare & Medicaid Services on 2007-02-22.
When was the David M. Ichimura's information last updated?
The David M. Ichimura's information was last updated on 2007-07-08.
NPI Number: 1316940851
Address: 2410 N Glendale Dr Ste A, Fort Wayne, IN