Karl John Pendegraft in Visalia - General Practice
Karl John Pendegraft - NPI 1164633798
Karl John Pendegraft is a General Practice in Visalia, California. Karl John Pendegraft practices all healthcare services and medical treatments related to General Practice. The NPI Number for Karl John Pendegraft is 1164633798. The last update date is 2007-07-08.
Karl John Pendegraft's current location address is 5415 W Hillsdale Ave, Visalia, California. You can contact this provider via phone number 5597331097 and fax number 5597390431. The mailing address for Karl John Pendegraft is 5415 W Hillsdale Ave, Visalia, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Karl John Pendegraft |
|---|---|
| Address | 5415 W Hillsdale Ave, Visalia, California |
| Phone Number | 5597331097 |
| Fax Number | 5597390431 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1164633798 |
|---|---|
| Provider Enumeration Date | 2007-05-25 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 5415 W Hillsdale Ave |
|---|---|
| City | Visalia |
| State | California (CA) |
| Post Code | 932915156 |
| Phone Number | 5597331097 |
| Fax Number | 5597390431 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 31844 |
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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 Karl John Pendegraft by the Centers for Medicare & Medicaid Services?
The Karl John Pendegraft has been issued the NPI (National Provider Identifier) 1164633798, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Karl John Pendegraft is physically located?
The Karl John Pendegraft is situated at the following address: 5415 W Hillsdale Ave, Visalia, CA 932915156.
What is the Karl John Pendegraft's area of specialization and corresponding taxonomy classification?
The Karl John Pendegraft's specialty field is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services issue the 1164633798 to Karl John Pendegraft?
The Karl John Pendegraft received its 1164633798 assignment from the Centers for Medicare & Medicaid Services on 2007-05-25.
When was the information regarding Karl John Pendegraft, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Karl John Pendegraft, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.