Loma Linda Children'S Dental Group in Loma Linda - Pediatric Dentistry
Loma Linda Children'S Dental Group - NPI 1750435368
Loma Linda Children'S Dental Group is a Pediatric Dentistry in Loma Linda, California. Loma Linda Children'S Dental Group practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Loma Linda Children'S Dental Group is 1750435368. The last update date is 2013-04-16.
Loma Linda Children'S Dental Group's current location address is 25455 Barton Rd, Loma Linda, California. You can contact this provider via phone number 9097962507 and fax number 9097963247. The mailing address for Loma Linda Children'S Dental Group is 25455 Barton Rd, Loma Linda, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Loma Linda Children'S Dental Group |
|---|---|
| Address | 25455 Barton Rd, Loma Linda, California |
| Phone Number | 9097962507 |
| Fax Number | 9097963247 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OWNER |
|---|---|
| Authorized Official Name | Wacker E Christopher |
| Credentials | DDS |
| Telephone Number | 9097962507 |
NPI Number Detail
| NPI Number | 1750435368 |
|---|---|
| Provider Enumeration Date | 2007-01-22 |
| Last Updated Date | 2013-04-16 |
Provider Mailing Address Detail
| Address | 25455 Barton Rd |
|---|---|
| City | Loma Linda |
| State | California (CA) |
| Post Code | 923543128 |
| Phone Number | 9097962507 |
| Fax Number | 9097963247 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 43508 |
|
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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What is the unique 10-digit identifier code assigned to Loma Linda Children'S Dental Group by the Centers for Medicare & Medicaid Services?
The Loma Linda Children'S Dental Group has been issued the NPI (National Provider Identifier) 1750435368 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Can you provide the Loma Linda Children'S Dental Group's physical address?
The Loma Linda Children'S Dental Group is physically located at 25455 Barton Rd, in the city of Loma Linda, CA, with the postal code 923543128.
What is Loma Linda Children'S Dental Group's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Loma Linda Children'S Dental Group is Pediatric Dentistry, and the corresponding taxonomy classification code for this specialized field is 1223P0221X.
On what date did Loma Linda Children'S Dental Group receive its 1750435368 assignment from the Centers for Medicare & Medicaid Services?
The Loma Linda Children'S Dental Group was assigned its 1750435368 on 2007-01-22, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information regarding Loma Linda Children'S Dental Group most recently updated?
The details pertaining to the Loma Linda Children'S Dental Group, including its address, specialty, and other relevant information, were last refreshed on 2013-04-16.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA