Stason K. Shishido in San Jose - General Practice
Stason K. Shishido - NPI 1841339363
Stason K. Shishido is a General Practice in San Jose, California. Stason K. Shishido practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stason K. Shishido is 1841339363. The last update date is 2007-07-08.
Stason K. Shishido's current location address is 2025 Forest Ave Ste 3, San Jose, California. You can contact this provider via phone number 4082946624. The mailing address for Stason K. Shishido is 2025 Forest Ave Ste 3, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stason K. Shishido |
|---|---|
| Address | 2025 Forest Ave Ste 3, San Jose, California |
| Phone Number | 4082946624 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1841339363 |
|---|---|
| Provider Enumeration Date | 2007-02-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 2025 Forest Ave Ste 3 |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951284806 |
| Phone Number | 4082946624 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 35551 |
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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 identification code assigned to Stason K. Shishido by the Centers for Medicare & Medicaid Services?
The Stason K. Shishido has been issued the NPI (National Provider Identifier) 1841339363. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Stason K. Shishido's physical address?
The Stason K. Shishido is physically located at 2025 Forest Ave Ste 3, in the city of San Jose, CA, with the postal code 951284806.
What is Stason K. Shishido'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 Stason K. Shishido 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 assign the 1841339363 to Stason K. Shishido?
The Centers for Medicare & Medicaid Services assigned the 1841339363 to Stason K. Shishido on 2007-02-05.
As of what date were the details pertaining to Stason K. Shishido last refreshed?
The information related to the Stason K. Shishido, including its address, specialty, and other relevant details, was last updated on 2007-07-08.