Peter Nicholas Jimenez in Yucaipa - Pediatric Dentistry
Peter Nicholas Jimenez - NPI 1891828778
Peter Nicholas Jimenez is a Pediatric Dentistry in Yucaipa, California. Peter Nicholas Jimenez practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Peter Nicholas Jimenez is 1891828778. The last update date is 2007-07-08.
Peter Nicholas Jimenez's current location address is 31646 Dunlap Blvd, Yucaipa, California. You can contact this provider via phone number 9097944909 and fax number 9097944904. The mailing address for Peter Nicholas Jimenez is 31646 Dunlap Blvd, Yucaipa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Peter Nicholas Jimenez |
|---|---|
| Address | 31646 Dunlap Blvd, Yucaipa, California |
| Phone Number | 9097944909 |
| Fax Number | 9097944904 |
| Sole Proprietor | Y |
| Credentials | D.D.S |
NPI Number Detail
| NPI Number | 1891828778 |
|---|---|
| Provider Enumeration Date | 2007-03-13 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 31646 Dunlap Blvd |
|---|---|
| City | Yucaipa |
| State | California (CA) |
| Post Code | 923991602 |
| Phone Number | 9097944909 |
| Fax Number | 9097944904 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 48471 |
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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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What is the unique provider identifier assigned to Peter Nicholas Jimenez?
The Peter Nicholas Jimenez has been issued the NPI (National Provider Identifier) 1891828778 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Where is the Peter Nicholas Jimenez located?
The Peter Nicholas Jimenez is located at 31646 Dunlap Blvd, Yucaipa, CA 923991602.
What is the Peter Nicholas Jimenez's area of specialization and corresponding taxonomy classification?
The Peter Nicholas Jimenez's specialty field is Pediatric Dentistry, and it falls under the taxonomy code 1223P0221X, which categorizes healthcare providers based on their specialties.
When was the Peter Nicholas Jimenez's 1891828778 issued?
The Peter Nicholas Jimenez's 1891828778 was issued on 2007-03-13.
When was the information regarding Peter Nicholas Jimenez most recently updated?
The details pertaining to the Peter Nicholas Jimenez, including its address, specialty, and other relevant information, were last refreshed on 2007-07-08.