Quincy Chi-Chian Tan in Vallejo - General Practice
Quincy Chi-Chian Tan - NPI 1053529149
Quincy Chi-Chian Tan is a General Practice in Vallejo, California. Quincy Chi-Chian Tan practices all healthcare services and medical treatments related to General Practice. The NPI Number for Quincy Chi-Chian Tan is 1053529149. The last update date is 2007-07-08.
Quincy Chi-Chian Tan's current location address is 1761 Broadway St Ste 224, Vallejo, California. You can contact this provider via phone number 7076437885 and fax number 7076438633. The mailing address for Quincy Chi-Chian Tan is 1761 Broadway St Ste 224, Vallejo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Quincy Chi-Chian Tan |
|---|---|
| Address | 1761 Broadway St Ste 224, Vallejo, California |
| Phone Number | 7076437885 |
| Fax Number | 7076438633 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1053529149 |
|---|---|
| Provider Enumeration Date | 2007-05-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1761 Broadway St Ste 224 |
|---|---|
| City | Vallejo |
| State | California (CA) |
| Post Code | 945892227 |
| Phone Number | 7076437885 |
| Fax Number | 7076438633 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 52940 |
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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 Quincy Chi-Chian Tan's unique identification number?
The Quincy Chi-Chian Tan has been assigned the NPI (National Provider Identifier) Number 1053529149 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you kindly provide the complete physical address where Quincy Chi-Chian Tan's facilities are geographically located?
The facilities of Quincy Chi-Chian Tan are physically situated at the following location: 1761 Broadway St Ste 224, Vallejo, CA, 945892227.
What is Quincy Chi-Chian Tan's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Quincy Chi-Chian Tan'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 Centers for Medicare & Medicaid Services originally issue the 1053529149 to Quincy Chi-Chian Tan?
The Centers for Medicare & Medicaid Services originally issued the 1053529149 to Quincy Chi-Chian Tan on 2007-05-20.
When was the information related to Quincy Chi-Chian Tan most recently updated or refreshed?
The details pertaining to the Quincy Chi-Chian Tan, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.