Bobby Gene Byrd in Tustin - General Practice
Bobby Gene Byrd - NPI 1982762837
Bobby Gene Byrd is a General Practice in Tustin, California. Bobby Gene Byrd practices all healthcare services and medical treatments related to General Practice. The NPI Number for Bobby Gene Byrd is 1982762837. The last update date is 2007-07-09.
Bobby Gene Byrd's current location address is 130 El Camino Real, Tustin, California. You can contact this provider via phone number 7145731111. The mailing address for Bobby Gene Byrd is 130 El Camino Real, Tustin, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bobby Gene Byrd |
|---|---|
| Address | 130 El Camino Real, Tustin, California |
| Phone Number | 7145731111 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1982762837 |
|---|---|
| Provider Enumeration Date | 2006-12-04 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 130 El Camino Real |
|---|---|
| City | Tustin |
| State | California (CA) |
| Post Code | 927803659 |
| Phone Number | 7145731111 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 14733 |
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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 |
|---|---|---|---|
| B1473301 | CA | -- |
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What is the unique 10-digit identifier code issued to Bobby Gene Byrd by the Centers for Medicare & Medicaid Services?
The Bobby Gene Byrd has been assigned the NPI (National Provider Identifier) 1982762837 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Can you provide the Bobby Gene Byrd's physical address?
The Bobby Gene Byrd is physically located at 130 El Camino Real, in the city of Tustin, CA, with the postal code 927803659.
What is the Bobby Gene Byrd's specialty and taxonomy code?
The Bobby Gene Byrd's specialty is General Practice, and the corresponding taxonomy code is 1223G0001X.
On what date did the Bobby Gene Byrd receive the assignment of its 1982762837 from the Centers for Medicare & Medicaid Services?
The Bobby Gene Byrd was issued its 1982762837 by the Centers for Medicare & Medicaid Services on 2006-12-04.
As of what date were the Bobby Gene Byrd's details last updated?
The information pertaining to the Bobby Gene Byrd, including its address, specialty, and other details, was most recently updated on 2007-07-09.