Lori Corrine Good in San Diego - Pediatric Dentistry
Lori Corrine Good - NPI 1912074691
Lori Corrine Good is a Pediatric Dentistry in San Diego, California. Lori Corrine Good practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Lori Corrine Good is 1912074691. The last update date is 2007-07-09.
Lori Corrine Good's current location address is 11616 Iberia Place, San Diego, California. You can contact this provider via phone number 8586765000 and fax number 8586765016. The mailing address for Lori Corrine Good is 11616 Iberia Place, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Lori Corrine Good |
|---|---|
| Address | 11616 Iberia Place, San Diego, California |
| Phone Number | 8586765000 |
| Fax Number | 8586765016 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1912074691 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-09 |
Provider Mailing Address Detail
| Address | 11616 Iberia Place |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 92128 |
| Phone Number | 8586765000 |
| Fax Number | 8586765016 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 33462 |
|
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 |
|---|---|---|---|
| D33462 | CA | -- | |
| 809272 | CA | UNITED CONCORDIA INS |
Post Comment/ Review Below
What is the unique 10-digit identification code issued to Lori Corrine Good by the Centers for Medicare & Medicaid Services?
The Lori Corrine Good has been assigned the NPI (National Provider Identifier) 1912074691 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please provide the complete street address where Lori Corrine Good is physically located?
The Lori Corrine Good is physically situated at the following address: 11616 Iberia Place, San Diego, CA, 92128.
What is Lori Corrine Good's area of expertise and its corresponding taxonomy classification?
The Lori Corrine Good's field of specialization is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their areas of practice.
When did the Lori Corrine Good receive its 1912074691?
The Lori Corrine Good was issued its 1912074691 on 2006-11-29, which is the date when the organization was assigned this unique identifier.
When was the information regarding Lori Corrine Good most recently updated?
The details pertaining to the Lori Corrine Good, including its address, specialty, and other relevant information, were last refreshed on 2007-07-09.