Penny J Dodson in Placerville - Pediatric Dentistry
Penny J Dodson - NPI 1184841116
Penny J Dodson is a Pediatric Dentistry in Placerville, California. Penny J Dodson practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Penny J Dodson is 1184841116. The last update date is 2023-03-07.
Penny J Dodson's current location address is 4330 Golden Center Drive, Placerville, California. You can contact this provider via phone number 5306428614 and fax number 5306429314. The mailing address for Penny J Dodson is 4330 Golden Center Drive, Placerville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Penny J Dodson |
|---|---|
| Address | 4330 Golden Center Drive, Placerville, California |
| Phone Number | 5306428614 |
| Fax Number | 5306429314 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1184841116 |
|---|---|
| Provider Enumeration Date | 2007-04-19 |
| Last Updated Date | 2023-03-07 |
Provider Mailing Address Detail
| Address | 4330 Golden Center Drive |
|---|---|
| City | Placerville |
| State | California (CA) |
| Post Code | 956676259 |
| Phone Number | 5306428614 |
| Fax Number | 5306429314 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 42913 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 42913 | CA | STATE LICENSE |
Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Penny J Dodson by the Centers for Medicare & Medicaid Services?
The Penny J Dodson has been issued the NPI (National Provider Identifier) 1184841116, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete physical address where Penny J Dodson is located?
The Penny J Dodson is situated at the following address: 4330 Golden Center Drive, Placerville, CA, 956676259.
What is Penny J Dodson'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 Penny J Dodson is Pediatric Dentistry, and the taxonomy classification code that categorizes this area of expertise is 1223P0221X.
On what date did the Penny J Dodson receive the assignment of its 1184841116 from the Centers for Medicare & Medicaid Services?
The Penny J Dodson was issued its 1184841116 by the Centers for Medicare & Medicaid Services on 2007-04-19.
As of what date was the information pertaining to Penny J Dodson, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Penny J Dodson, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN