Thousand Oaks Childrens Dental Group in Thousand Oaks - Pediatric Dentistry

Thousand Oaks Childrens Dental Group - NPI 1124140751

Thousand Oaks Childrens Dental Group is a Pediatric Dentistry in Thousand Oaks, California. Thousand Oaks Childrens Dental Group practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Thousand Oaks Childrens Dental Group is 1124140751. The last update date is 2009-02-04.

Thousand Oaks Childrens Dental Group's current location address is 61 Long Ct, Thousand Oaks, California. You can contact this provider via phone number 8054973797 and fax number 8053711121. The mailing address for Thousand Oaks Childrens Dental Group is 61 Long Ct, Thousand Oaks, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Thousand Oaks Childrens Dental Group
Address 61 Long Ct, Thousand Oaks, California
Phone Number 8054973797
Fax Number 8053711121
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/PART
Authorized Official Name Raza S Ahsan
Credentials D.D.S.
Telephone Number 8054973797

NPI Number Detail

NPI Number 1124140751
Provider Enumeration Date 2007-04-04
Last Updated Date 2009-02-04

Provider Mailing Address Detail

Address 61 Long Ct
City Thousand Oaks
State California (CA)
Post Code 91360
Phone Number 8054973797
Fax Number 8053711121

Provider's Primary Taxonomy Detail

Speciality Pediatric Dentistry
Taxonomy 1223P0221X
Licence No 36029
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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FAQs about Thousand Oaks Childrens Dental Group

What is the unique identifier code issued to Thousand Oaks Childrens Dental Group by the Centers for Medicare & Medicaid Services?

The Thousand Oaks Childrens Dental Group has been assigned the NPI (National Provider Identifier) 1124140751. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Thousand Oaks Childrens Dental Group's facilities are situated?

The facilities of Thousand Oaks Childrens Dental Group are physically located at the following address: 61 Long Ct, Thousand Oaks, CA, 91360.

What is Thousand Oaks Childrens Dental Group's specialized field of practice, and what is the corresponding taxonomy classification code?

The Thousand Oaks Childrens Dental Group's area of specialization is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this field of practice is 1223P0221X.

When did Thousand Oaks Childrens Dental Group receive its 1124140751 assignment?

The Thousand Oaks Childrens Dental Group was assigned its 1124140751 on 2007-04-04, which is the date when this unique identifier was issued to the organization.

When was the information related to Thousand Oaks Childrens Dental Group most recently updated or refreshed?

The details pertaining to the Thousand Oaks Childrens Dental Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2009-02-04.

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