James Bryan Quattlebaum in Elk Grove - Periodontics
James Bryan Quattlebaum - NPI 1649272774
James Bryan Quattlebaum is a Periodontics in Elk Grove, California. James Bryan Quattlebaum practices all healthcare services and medical treatments related to Periodontics. The NPI Number for James Bryan Quattlebaum is 1649272774. The last update date is 2015-03-13.
James Bryan Quattlebaum's current location address is 8260 Longleaf Drive, Elk Grove, California. You can contact this provider via phone number 9166910259. The mailing address for James Bryan Quattlebaum is 8260 Longleaf Drive, Elk Grove, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Bryan Quattlebaum |
|---|---|
| Address | 8260 Longleaf Drive, Elk Grove, California |
| Phone Number | 9166910259 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1649272774 |
|---|---|
| Provider Enumeration Date | 2005-06-01 |
| Last Updated Date | 2015-03-13 |
Provider Mailing Address Detail
| Address | 8260 Longleaf Drive |
|---|---|
| City | Elk Grove |
| State | California (CA) |
| Post Code | 957580 |
| Phone Number | 9166910259 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 28376 |
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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 identifier code issued to James Bryan Quattlebaum by the Centers for Medicare & Medicaid Services?
The James Bryan Quattlebaum has been assigned the NPI (National Provider Identifier) 1649272774. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where James Bryan Quattlebaum's facilities are geographically located?
The facilities of James Bryan Quattlebaum are physically situated at the following location: 8260 Longleaf Drive, Elk Grove, CA, 957580.
What is the James Bryan Quattlebaum's area of specialization and corresponding taxonomy classification?
The James Bryan Quattlebaum'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 James Bryan Quattlebaum receive the assignment of its 1649272774 from the Centers for Medicare & Medicaid Services?
The James Bryan Quattlebaum was issued its 1649272774 by the Centers for Medicare & Medicaid Services on 2005-06-01.
When was the information regarding James Bryan Quattlebaum, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to James Bryan Quattlebaum, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2015-03-13.