Gary Komenaka is a General Practice in Petaluma, California. Gary Komenaka practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gary Komenaka is 1649284118. The last update date is 2007-07-08.
Gary Komenaka's current location address is 249 N Mcdowell Blvd, Petaluma, California. You can contact this provider via phone number 7077659262. The mailing address for Gary Komenaka is 249 N Mcdowell Blvd, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary Komenaka |
|---|---|
| Address | 249 N Mcdowell Blvd, Petaluma, California |
| Phone Number | 7077659262 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DMD |
NPI Number Detail
| NPI Number | 1649284118 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 249 N Mcdowell Blvd |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 949542306 |
| Phone Number | 7077659262 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 54488 |
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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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Post Comment/ Review Below
What is the unique provider identifier assigned to Gary Komenaka?
The Gary Komenaka has been issued the NPI (National Provider Identifier) 1649284118 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Gary Komenaka's facilities are situated?
The facilities of Gary Komenaka are physically located at the following address: 249 N Mcdowell Blvd, Petaluma, CA, 949542306.
What is Gary Komenaka's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Gary Komenaka's specialized field of practice is General Practice, and the corresponding taxonomy code that categorizes this area of specialization is 1223G0001X.
On what date did the Gary Komenaka receive its 1649284118 assignment from the Centers for Medicare & Medicaid Services?
The Gary Komenaka was assigned its 1649284118 by the Centers for Medicare & Medicaid Services on 2006-07-28.
As of what date was the information regarding Gary Komenaka, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Gary Komenaka, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.