Kevin Tom in South San Francisco - General Practice

Kevin Tom - NPI 1700910148

Kevin Tom is a General Practice in South San Francisco, California. Kevin Tom practices all healthcare services and medical treatments related to General Practice. The NPI Number for Kevin Tom is 1700910148. The last update date is 2014-03-19.

Kevin Tom's current location address is 359 El Camino Real, South San Francisco, California. You can contact this provider via phone number 6508733732 and fax number 6505884746. The mailing address for Kevin Tom is 359 El Camino Real, South San Francisco, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Kevin Tom
Address 359 El Camino Real, South San Francisco, California
Phone Number 6508733732
Fax Number 6505884746
Sole Proprietor Y
Credentials DDS

NPI Number Detail

NPI Number 1700910148
Provider Enumeration Date 2007-03-16
Last Updated Date 2014-03-19

Provider Mailing Address Detail

Address 359 El Camino Real
City South San Francisco
State California (CA)
Post Code 940805923
Phone Number 6508733732
Fax Number 6505884746

Provider's Primary Taxonomy Detail

Speciality General Practice
Taxonomy 1223G0001X
Licence No DV34236
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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FAQs about Kevin Tom

What is the Kevin Tom's 1700910148?

The Kevin Tom's NPI (National Provider Identifier) Number is 1700910148. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you provide the complete address where Kevin Tom is physically located?

The Kevin Tom is situated at the following address: 359 El Camino Real, South San Francisco, CA 940805923.

What is Kevin Tom's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kevin Tom's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.

On what date did the Kevin Tom receive its 1700910148 assignment from the Centers for Medicare & Medicaid Services?

The Kevin Tom was assigned its 1700910148 by the Centers for Medicare & Medicaid Services on 2007-03-16.

As of what date were the details related to Kevin Tom most recently updated or revised?

The information pertaining to Kevin Tom, including its address, specialty, and other relevant details, was last updated or revised on 2014-03-19.

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