Chico Periodontal Associates in Chico - Periodontics
Chico Periodontal Associates - NPI 1619179629
Chico Periodontal Associates is a Periodontics in Chico, California. Chico Periodontal Associates practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Chico Periodontal Associates is 1619179629. The last update date is 2020-08-22.
Chico Periodontal Associates's current location address is 30 Declaration Dr, Chico, California. You can contact this provider via phone number 5308981234 and fax number 5308980725. The mailing address for Chico Periodontal Associates is 30 Declaration Dr, Chico, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Chico Periodontal Associates |
|---|---|
| Address | 30 Declaration Dr, Chico, California |
| Phone Number | 5308981234 |
| Fax Number | 5308980725 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | OFFICE MAN |
|---|---|
| Authorized Official Name | Ward T Eleanor |
| Telephone Number | 5308981234 |
NPI Number Detail
| NPI Number | 1619179629 |
|---|---|
| Provider Enumeration Date | 2007-06-01 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 30 Declaration Dr |
|---|---|
| City | Chico |
| State | California (CA) |
| Post Code | 959734911 |
| Phone Number | 5308981234 |
| Fax Number | 5308980725 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 35882 |
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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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What is the unique 10-digit identification code issued to Chico Periodontal Associates by the Centers for Medicare & Medicaid Services?
The Chico Periodontal Associates has been assigned the NPI (National Provider Identifier) 1619179629 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Chico Periodontal Associates's facilities are situated?
The facilities of Chico Periodontal Associates are physically located at the following address: 30 Declaration Dr, Chico, CA, 959734911.
What is the Chico Periodontal Associates's area of specialization and corresponding taxonomy classification?
The Chico Periodontal Associates's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1619179629 to Chico Periodontal Associates?
The Centers for Medicare & Medicaid Services assigned the 1619179629 to Chico Periodontal Associates on 2007-06-01.
As of what date were the details related to Chico Periodontal Associates most recently updated or revised?
The information pertaining to Chico Periodontal Associates, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.