Lifetime Dental Care in San Jose - General Practice
Lifetime Dental Care - NPI 1740201896
Lifetime Dental Care is a General Practice in San Jose, California. Lifetime Dental Care practices all healthcare services and medical treatments related to General Practice. The NPI Number for Lifetime Dental Care is 1740201896. The last update date is 2013-02-25.
Lifetime Dental Care's current location address is 1062 S De Anza Blvd Ste C103, San Jose, California. You can contact this provider via phone number 4082559666 and fax number 4082554524. The mailing address for Lifetime Dental Care is 1062 S De Anza Blvd Ste C103, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Lifetime Dental Care |
|---|---|
| Address | 1062 S De Anza Blvd Ste C103, San Jose, California |
| Phone Number | 4082559666 |
| Fax Number | 4082554524 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Lu C Wendy |
| Credentials | DDS |
| Telephone Number | 4082559666 |
NPI Number Detail
| NPI Number | 1740201896 |
|---|---|
| Provider Enumeration Date | 2006-07-22 |
| Last Updated Date | 2013-02-25 |
Provider Mailing Address Detail
| Address | 1062 S De Anza Blvd Ste C103 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951293556 |
| Phone Number | 4082559666 |
| Fax Number | 4082554524 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 42062 |
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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 identifier code issued to Lifetime Dental Care by the Centers for Medicare & Medicaid Services (CMS)?
The Lifetime Dental Care has been assigned the NPI (National Provider Identifier) 1740201896. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Where is the Lifetime Dental Care located?
The Lifetime Dental Care is located at 1062 S De Anza Blvd Ste C103, San Jose, CA 951293556.
What is Lifetime Dental Care's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Lifetime Dental Care is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services issue the 1740201896 to Lifetime Dental Care?
The Lifetime Dental Care received its 1740201896 assignment from the Centers for Medicare & Medicaid Services on 2006-07-22.
As of what date were the details pertaining to Lifetime Dental Care last refreshed?
The information related to the Lifetime Dental Care, including its address, specialty, and other relevant details, was last updated on 2013-02-25.