Charles Wesley Ketcham in Thousand Oaks - General Practice
Charles Wesley Ketcham - NPI 1174667216
Charles Wesley Ketcham is a General Practice in Thousand Oaks, California. Charles Wesley Ketcham practices all healthcare services and medical treatments related to General Practice. The NPI Number for Charles Wesley Ketcham is 1174667216. The last update date is 2007-07-08.
Charles Wesley Ketcham's current location address is 228 Lombard St Ste C, Thousand Oaks, California. You can contact this provider via phone number 8054963209 and fax number 8054960351. The mailing address for Charles Wesley Ketcham is 228 Lombard St Ste C, Thousand Oaks, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Wesley Ketcham |
|---|---|
| Address | 228 Lombard St Ste C, Thousand Oaks, California |
| Phone Number | 8054963209 |
| Fax Number | 8054960351 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1174667216 |
|---|---|
| Provider Enumeration Date | 2007-02-19 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 228 Lombard St Ste C |
|---|---|
| City | Thousand Oaks |
| State | California (CA) |
| Post Code | 913608202 |
| Phone Number | 8054963209 |
| Fax Number | 8054960351 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 23839 |
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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 unique 10-digit identification code assigned to Charles Wesley Ketcham by the Centers for Medicare & Medicaid Services?
The Charles Wesley Ketcham has been issued the NPI (National Provider Identifier) 1174667216, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Charles Wesley Ketcham is located?
The Charles Wesley Ketcham is situated at the following address: 228 Lombard St Ste C, Thousand Oaks, CA, 913608202.
What is the area of specialization for Charles Wesley Ketcham, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Charles Wesley Ketcham is General Practice, and the corresponding taxonomy code that categorizes this area of expertise is 1223G0001X.
On what date was the 1174667216 assigned to Charles Wesley Ketcham?
The Charles Wesley Ketcham was issued its 1174667216 on 2007-02-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details pertaining to Charles Wesley Ketcham last refreshed?
The information related to the Charles Wesley Ketcham, including its address, specialty, and other relevant details, was last updated on 2007-07-08.