Stephen S Kallaos in Moreno Valley - Periodontics
Stephen S Kallaos - NPI 1649349879
Stephen S Kallaos is a Periodontics in Moreno Valley, California. Stephen S Kallaos practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Stephen S Kallaos is 1649349879. The last update date is 2007-07-08.
Stephen S Kallaos's current location address is 24099 Postal Ave, Moreno Valley, California. You can contact this provider via phone number 9516011385 and fax number 9516011292. The mailing address for Stephen S Kallaos is 24099 Postal Ave, Moreno Valley, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Stephen S Kallaos |
|---|---|
| Address | 24099 Postal Ave, Moreno Valley, California |
| Phone Number | 9516011385 |
| Fax Number | 9516011292 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1649349879 |
|---|---|
| Provider Enumeration Date | 2006-11-06 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 24099 Postal Ave |
|---|---|
| City | Moreno Valley |
| State | California (CA) |
| Post Code | 925537709 |
| Phone Number | 9516011385 |
| Fax Number | 9516011292 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 44903 |
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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 identifier code issued to Stephen S Kallaos by the Centers for Medicare & Medicaid Services (CMS)?
The Stephen S Kallaos has been assigned the NPI (National Provider Identifier) 1649349879. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.
Could you provide the complete address where Stephen S Kallaos is physically located?
The Stephen S Kallaos is situated at the following address: 24099 Postal Ave, Moreno Valley, CA 925537709.
What is Stephen S Kallaos's area of expertise and its corresponding taxonomy classification?
The Stephen S Kallaos's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
When did the Stephen S Kallaos receive its 1649349879?
The Stephen S Kallaos was issued its 1649349879 on 2006-11-06, which is the date when the organization was assigned this unique identifier.
As of what date were the details pertaining to Stephen S Kallaos last refreshed?
The information related to the Stephen S Kallaos, including its address, specialty, and other relevant details, was last updated on 2007-07-08.