Stephanie B Loller in San Jose - General Practice
Stephanie B Loller - NPI 1316943954
Stephanie B Loller is a General Practice in San Jose, California. Stephanie B Loller practices all healthcare services and medical treatments related to General Practice. The NPI Number for Stephanie B Loller is 1316943954. The last update date is 2017-02-03.
Stephanie B Loller's current location address is 891 S Bascom Ave, San Jose, California. You can contact this provider via phone number 4082980777 and fax number 4082983143. The mailing address for Stephanie B Loller is 891 S Bascom Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephanie B Loller |
|---|---|
| Address | 891 S Bascom Ave, San Jose, California |
| Phone Number | 4082980777 |
| Fax Number | 4082983143 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1316943954 |
|---|---|
| Provider Enumeration Date | 2005-06-27 |
| Last Updated Date | 2017-02-03 |
Provider Mailing Address Detail
| Address | 891 S Bascom Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951282627 |
| Phone Number | 4082980777 |
| Fax Number | 4082983143 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 44610 |
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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 provider identifier assigned to Stephanie B Loller?
The Stephanie B Loller has been issued the NPI (National Provider Identifier) 1316943954 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Stephanie B Loller?
The Stephanie B Loller is physically situated at 891 S Bascom Ave, in the city of San Jose, state of CA, with the postal code 951282627.
What is Stephanie B Loller'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 Stephanie B Loller 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 originally issue the 1316943954 to Stephanie B Loller?
The Centers for Medicare & Medicaid Services originally issued the 1316943954 to Stephanie B Loller on 2005-06-27.
As of what date were the Stephanie B Loller's details last updated?
The information pertaining to the Stephanie B Loller, including its address, specialty, and other details, was most recently updated on 2017-02-03.
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