Jason Randall Acevedo in South Lake Tahoe - General Practice
Jason Randall Acevedo - NPI 1326127663
Jason Randall Acevedo is a General Practice in South Lake Tahoe, California. Jason Randall Acevedo practices all healthcare services and medical treatments related to General Practice. The NPI Number for Jason Randall Acevedo is 1326127663. The last update date is 2007-07-08.
Jason Randall Acevedo's current location address is 3461 Lake Tahoe Blvd, South Lake Tahoe, California. You can contact this provider via phone number 5305441050 and fax number 5305441709. The mailing address for Jason Randall Acevedo is 3461 Lake Tahoe Blvd, South Lake Tahoe, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jason Randall Acevedo |
|---|---|
| Address | 3461 Lake Tahoe Blvd, South Lake Tahoe, California |
| Phone Number | 5305441050 |
| Fax Number | 5305441709 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1326127663 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3461 Lake Tahoe Blvd |
|---|---|
| City | South Lake Tahoe |
| State | California (CA) |
| Post Code | 96150 |
| Phone Number | 5305441050 |
| Fax Number | 5305441709 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 51539 |
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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 Jason Randall Acevedo's unique identification number?
The Jason Randall Acevedo has been assigned the NPI (National Provider Identifier) Number 1326127663 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Jason Randall Acevedo?
The Jason Randall Acevedo is situated at 3461 Lake Tahoe Blvd, in the city of South Lake Tahoe, state of CA, with the zip code 96150.
What is Jason Randall Acevedo's area of expertise and its corresponding taxonomy classification?
The Jason Randall Acevedo'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 was the 1326127663 assigned to Jason Randall Acevedo?
The Jason Randall Acevedo was issued its 1326127663 on 2006-11-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Jason Randall Acevedo most recently updated?
The details pertaining to the Jason Randall Acevedo, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.
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