South California Dental Practice in Stockton - General Practice
South California Dental Practice - NPI 1114090677
South California Dental Practice is a General Practice in Stockton, California. South California Dental Practice practices all healthcare services and medical treatments related to General Practice. The NPI Number for South California Dental Practice is 1114090677. The last update date is 2020-08-22.
South California Dental Practice's current location address is 40 S California St, Stockton, California. You can contact this provider via phone number 2099410814 and fax number 2099410815. The mailing address for South California Dental Practice is 40 S California St, Stockton, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | South California Dental Practice |
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Address | 40 S California St, Stockton, California |
Phone Number | 2099410814 |
Fax Number | 2099410815 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER DENT |
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Authorized Official Name | Chang Chee Chiang |
Credentials | DDS |
Telephone Number | 2099410814 |
NPI Number Detail
NPI Number | 1114090677 |
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Provider Enumeration Date | 2006-11-15 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 40 S California St |
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City | Stockton |
State | California (CA) |
Post Code | 952023004 |
Phone Number | 2099410814 |
Fax Number | 2099410815 |
Provider's Primary Taxonomy Detail
Speciality | General Practice |
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Taxonomy | 1223G0001X |
Licence No | 47858 |
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 South California Dental Practice's 1114090677?
The South California Dental Practice's NPI (National Provider Identifier) Number is 1114090677. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of South California Dental Practice?
The South California Dental Practice is physically situated at 40 S California St, in the city of Stockton, state of CA, with the postal code 952023004.
What is South California Dental Practice's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for South California Dental Practice is General Practice, and the taxonomy classification code that categorizes this area of expertise is 1223G0001X.
When did the South California Dental Practice receive its 1114090677?
The South California Dental Practice was issued its 1114090677 on 2006-11-15, which is the date when the organization was assigned this unique identifier.
When was the information related to South California Dental Practice most recently updated or refreshed?
The details pertaining to the South California Dental Practice, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.
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