Daniel Vincent Clevenger in San Mateo - General Practice
Daniel Vincent Clevenger - NPI 1215977210
Daniel Vincent Clevenger is a General Practice in San Mateo, California. Daniel Vincent Clevenger practices all healthcare services and medical treatments related to General Practice. The NPI Number for Daniel Vincent Clevenger is 1215977210. The last update date is 2019-10-24.
Daniel Vincent Clevenger's current location address is 675 Mariners Island Blvd #105, San Mateo, California. You can contact this provider via phone number 6503455711 and fax number 6503455780. The mailing address for Daniel Vincent Clevenger is 675 Mariners Island Blvd #105, San Mateo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Daniel Vincent Clevenger |
|---|---|
| Address | 675 Mariners Island Blvd #105, San Mateo, California |
| Phone Number | 6503455711 |
| Fax Number | 6503455780 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1215977210 |
|---|---|
| Provider Enumeration Date | 2006-06-07 |
| Last Updated Date | 2019-10-24 |
Provider Mailing Address Detail
| Address | 675 Mariners Island Blvd #105 |
|---|---|
| City | San Mateo |
| State | California (CA) |
| Post Code | 94404 |
| Phone Number | 6503455711 |
| Fax Number | 6503455780 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 35701 |
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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 Daniel Vincent Clevenger's unique identification number?
The Daniel Vincent Clevenger has been assigned the NPI (National Provider Identifier) Number 1215977210 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete physical address where Daniel Vincent Clevenger is located?
The Daniel Vincent Clevenger is situated at the following address: 675 Mariners Island Blvd #105, San Mateo, CA, 94404.
What is Daniel Vincent Clevenger's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Daniel Vincent Clevenger's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
When did the Daniel Vincent Clevenger receive its 1215977210?
The Daniel Vincent Clevenger was issued its 1215977210 on 2006-06-07, which is the date when the organization was assigned this unique identifier.
When was the information regarding Daniel Vincent Clevenger, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Daniel Vincent Clevenger, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2019-10-24.
NPI Number: 1215930425
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