Evergreen Family Dentistry in Yreka - General Practice
Evergreen Family Dentistry - NPI 1881806339
Evergreen Family Dentistry is a General Practice in Yreka, California. Evergreen Family Dentistry practices all healthcare services and medical treatments related to General Practice. The NPI Number for Evergreen Family Dentistry is 1881806339. The last update date is 2007-07-19.
Evergreen Family Dentistry's current location address is 310 Evergreen Ln, Yreka, California. You can contact this provider via phone number 5308422558 and fax number 5308429011. The mailing address for Evergreen Family Dentistry is 310 Evergreen Ln, Yreka, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Evergreen Family Dentistry |
|---|---|
| Address | 310 Evergreen Ln, Yreka, California |
| Phone Number | 5308422558 |
| Fax Number | 5308429011 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Krant Dee Randy |
| Credentials | DDS |
| Telephone Number | 5308422558 |
NPI Number Detail
| NPI Number | 1881806339 |
|---|---|
| Provider Enumeration Date | 2007-05-05 |
| Last Updated Date | 2007-07-19 |
Provider Mailing Address Detail
| Address | 310 Evergreen Ln |
|---|---|
| City | Yreka |
| State | California (CA) |
| Post Code | 960973203 |
| Phone Number | 5308422558 |
| Fax Number | 5308429011 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 38440 |
|
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. |
|
Post Comment/ Review Below
What is the unique identification code assigned to Evergreen Family Dentistry by the Centers for Medicare & Medicaid Services?
The Evergreen Family Dentistry has been issued the NPI (National Provider Identifier) 1881806339. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical address where Evergreen Family Dentistry is geographically located?
The Evergreen Family Dentistry is physically situated at the following location: 310 Evergreen Ln, Yreka, CA, 960973203.
What is Evergreen Family Dentistry's specialized field of practice, and what is the corresponding taxonomy classification code?
The Evergreen Family Dentistry's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When did Evergreen Family Dentistry receive its 1881806339 assignment?
The Evergreen Family Dentistry was assigned its 1881806339 on 2007-05-05, which is the date when this unique identifier was issued to the organization.
When was the information regarding Evergreen Family Dentistry, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Evergreen Family Dentistry, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-19.
NPI Number: 1669459376
Address: Edificio Medico Profesional Borinquen, Cabo Rojo, PR