John R Licking in Sunnyvale - General Practice
John R Licking - NPI 1376524140
John R Licking is a General Practice in Sunnyvale, California. John R Licking practices all healthcare services and medical treatments related to General Practice. The NPI Number for John R Licking is 1376524140. The last update date is 2007-07-08.
John R Licking's current location address is 1565 Hollenbeck Ave, Sunnyvale, California. You can contact this provider via phone number 4087366255 and fax number 4087366100. The mailing address for John R Licking is 1565 Hollenbeck Ave, Sunnyvale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John R Licking |
|---|---|
| Address | 1565 Hollenbeck Ave, Sunnyvale, California |
| Phone Number | 4087366255 |
| Fax Number | 4087366100 |
| Sole Proprietor | X |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1376524140 |
|---|---|
| Provider Enumeration Date | 2005-11-09 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1565 Hollenbeck Ave |
|---|---|
| City | Sunnyvale |
| State | California (CA) |
| Post Code | 940875922 |
| Phone Number | 4087366255 |
| Fax Number | 4087366100 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 21321 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 21321 | CA | CA |
Post Comment/ Review Below
What is the unique identifier code issued to John R Licking by the Centers for Medicare & Medicaid Services (CMS)?
The John R Licking has been assigned the NPI (National Provider Identifier) 1376524140. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you kindly provide the complete physical address where John R Licking's facilities are geographically located?
The facilities of John R Licking are physically situated at the following location: 1565 Hollenbeck Ave, Sunnyvale, CA, 940875922.
What is John R Licking's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for John R Licking is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
When was the John R Licking's 1376524140 issued?
The John R Licking's 1376524140 was issued on 2005-11-09.
As of what date was the information regarding John R Licking, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to John R Licking, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.