Alan M Takaki is a General Practice in Pueblo, Colorado. Alan M Takaki practices all healthcare services and medical treatments related to General Practice. The NPI Number for Alan M Takaki is 1306822556. The last update date is 2008-01-17.
Alan M Takaki's current location address is 1630 Fortino Blvd, Pueblo, Colorado. You can contact this provider via phone number 7195452468 and fax number 7195450815. The mailing address for Alan M Takaki is 1630 Fortino Blvd, Pueblo, Colorado. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Alan M Takaki |
|---|---|
| Address | 1630 Fortino Blvd, Pueblo, Colorado |
| Phone Number | 7195452468 |
| Fax Number | 7195450815 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1306822556 |
|---|---|
| Provider Enumeration Date | 2005-12-20 |
| Last Updated Date | 2008-01-17 |
Provider Mailing Address Detail
| Address | 1630 Fortino Blvd |
|---|---|
| City | Pueblo |
| State | Colorado (CO) |
| Post Code | 810081856 |
| Phone Number | 7195452468 |
| Fax Number | 7195450815 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 126 |
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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 |
|---|---|---|---|
| 722113 | CO | UNITED CONCORDIA | |
| 78325 | CO | ANTHEM BCBS |
Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Alan M Takaki by the Centers for Medicare & Medicaid Services?
The Alan M Takaki has been issued the NPI (National Provider Identifier) 1306822556 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Alan M Takaki's physical address?
The Alan M Takaki is physically located at 1630 Fortino Blvd, in the city of Pueblo, CO, with the postal code 810081856.
What is Alan M Takaki's area of expertise and its corresponding taxonomy classification?
The Alan M Takaki's field of specialization is General Practice, and it falls under the taxonomy code 1223G0001X, which categorizes healthcare providers based on their areas of practice.
On what date did Alan M Takaki receive its 1306822556 assignment from the Centers for Medicare & Medicaid Services?
The Alan M Takaki was assigned its 1306822556 on 2005-12-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Alan M Takaki's information last updated?
The Alan M Takaki's information was last updated on 2008-01-17.