South Bay Pediatric Dental Group in Chula Vista - Pediatric Dentistry
South Bay Pediatric Dental Group - NPI 1467649350
South Bay Pediatric Dental Group is a Pediatric Dentistry in Chula Vista, California. South Bay Pediatric Dental Group practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for South Bay Pediatric Dental Group is 1467649350. The last update date is 2007-09-25.
South Bay Pediatric Dental Group's current location address is 2446 Fenton St, Chula Vista, California. You can contact this provider via phone number 6192161100 and fax number 6192161127. The mailing address for South Bay Pediatric Dental Group is 2446 Fenton St, Chula Vista, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | South Bay Pediatric Dental Group |
|---|---|
| Address | 2446 Fenton St, Chula Vista, California |
| Phone Number | 6192161100 |
| Fax Number | 6192161127 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PARTNER |
|---|---|
| Authorized Official Name | Pacofsky W Todd |
| Credentials | DMD |
| Telephone Number | 6192161100 |
NPI Number Detail
| NPI Number | 1467649350 |
|---|---|
| Provider Enumeration Date | 2007-09-25 |
| Last Updated Date | 2007-09-25 |
Provider Mailing Address Detail
| Address | 2446 Fenton St |
|---|---|
| City | Chula Vista |
| State | California (CA) |
| Post Code | 919143516 |
| Phone Number | 6192161100 |
| Fax Number | 6192161127 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to South Bay Pediatric Dental Group by the Centers for Medicare & Medicaid Services?
The South Bay Pediatric Dental Group has been issued the NPI (National Provider Identifier) 1467649350 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of South Bay Pediatric Dental Group?
The South Bay Pediatric Dental Group is situated at 2446 Fenton St, in the city of Chula Vista, state of CA, with the zip code 919143516.
What is South Bay Pediatric Dental Group's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for South Bay Pediatric Dental Group is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services issue the 1467649350 to South Bay Pediatric Dental Group?
The South Bay Pediatric Dental Group received its 1467649350 assignment from the Centers for Medicare & Medicaid Services on 2007-09-25.
As of what date was the information regarding South Bay Pediatric Dental Group, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to South Bay Pediatric Dental Group, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-09-25.