Chris Allen Cerceo in South Lake Tahoe - General Practice
Chris Allen Cerceo - NPI 1629091012
Chris Allen Cerceo is a General Practice in South Lake Tahoe, California. Chris Allen Cerceo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Chris Allen Cerceo is 1629091012. The last update date is 2007-07-08.
Chris Allen Cerceo's current location address is 1077 4th St, South Lake Tahoe, California. You can contact this provider via phone number 5305411353. The mailing address for Chris Allen Cerceo is 1077 4th St, South Lake Tahoe, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Chris Allen Cerceo |
|---|---|
| Address | 1077 4th St, South Lake Tahoe, California |
| Phone Number | 5305411353 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1629091012 |
|---|---|
| Provider Enumeration Date | 2006-07-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1077 4th St |
|---|---|
| City | South Lake Tahoe |
| State | California (CA) |
| Post Code | 961503459 |
| Phone Number | 5305411353 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | DK28289 |
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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 Chris Allen Cerceo by the Centers for Medicare & Medicaid Services?
The Chris Allen Cerceo has been issued the NPI (National Provider Identifier) 1629091012. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Chris Allen Cerceo's facilities are geographically located?
The facilities of Chris Allen Cerceo are physically situated at the following location: 1077 4Th St, South Lake Tahoe, CA, 961503459.
What is Chris Allen Cerceo's area of expertise and its corresponding taxonomy classification?
The Chris Allen Cerceo's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1629091012 to Chris Allen Cerceo?
The Centers for Medicare & Medicaid Services originally issued the 1629091012 to Chris Allen Cerceo on 2006-07-26.
When was the information related to Chris Allen Cerceo most recently updated or refreshed?
The details pertaining to the Chris Allen Cerceo, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.