Jeremy Wilgus is a Periodontics in Camarillo, California. Jeremy Wilgus practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeremy Wilgus is 1790836971. The last update date is 2007-07-08.
Jeremy Wilgus's current location address is 3801 Las Posas Rd, Camarillo, California. You can contact this provider via phone number 8053881730 and fax number 8053882994. The mailing address for Jeremy Wilgus is 3801 Las Posas Rd, Camarillo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeremy Wilgus |
|---|---|
| Address | 3801 Las Posas Rd, Camarillo, California |
| Phone Number | 8053881730 |
| Fax Number | 8053882994 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1790836971 |
|---|---|
| Provider Enumeration Date | 2007-01-15 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 3801 Las Posas Rd |
|---|---|
| City | Camarillo |
| State | California (CA) |
| Post Code | 930101427 |
| Phone Number | 8053881730 |
| Fax Number | 8053882994 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 51529 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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Post Comment/ Review Below
What is the unique 10-digit identification code assigned to Jeremy Wilgus by the Centers for Medicare & Medicaid Services?
The Jeremy Wilgus has been issued the NPI (National Provider Identifier) 1790836971, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Jeremy Wilgus is physically located?
The Jeremy Wilgus is situated at the following address: 3801 Las Posas Rd, Camarillo, CA 930101427.
What is Jeremy Wilgus's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Jeremy Wilgus is Periodontics, and the taxonomy code that classifies this field of practice is 1223P0300X.
On what date did Jeremy Wilgus receive its 1790836971 assignment from the Centers for Medicare & Medicaid Services?
The Jeremy Wilgus was assigned its 1790836971 on 2007-01-15, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Jeremy Wilgus, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Jeremy Wilgus, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.