Bruce Dewar Mckelvy in Pleasanton - Periodontics
Bruce Dewar Mckelvy - NPI 1841312667
Bruce Dewar Mckelvy is a Periodontics in Pleasanton, California. Bruce Dewar Mckelvy practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Bruce Dewar Mckelvy is 1841312667. The last update date is 2007-07-08.
Bruce Dewar Mckelvy's current location address is 4466 Black Ave Ste B, Pleasanton, California. You can contact this provider via phone number 9254840200 and fax number 9254840460. The mailing address for Bruce Dewar Mckelvy is 4466 Black Ave Ste B, Pleasanton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Bruce Dewar Mckelvy |
|---|---|
| Address | 4466 Black Ave Ste B, Pleasanton, California |
| Phone Number | 9254840200 |
| Fax Number | 9254840460 |
| Sole Proprietor | N |
| Credentials | DDS, MSD |
NPI Number Detail
| NPI Number | 1841312667 |
|---|---|
| Provider Enumeration Date | 2007-04-04 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 4466 Black Ave Ste B |
|---|---|
| City | Pleasanton |
| State | California (CA) |
| Post Code | 945666130 |
| Phone Number | 9254840200 |
| Fax Number | 9254840460 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 26682 |
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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 identifier code issued to Bruce Dewar Mckelvy by the Centers for Medicare & Medicaid Services?
The Bruce Dewar Mckelvy has been assigned the NPI (National Provider Identifier) 1841312667 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Bruce Dewar Mckelvy?
The Bruce Dewar Mckelvy is situated at 4466 Black Ave Ste B, in the city of Pleasanton, state of CA, with the zip code 945666130.
What is Bruce Dewar Mckelvy's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Bruce Dewar Mckelvy's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.
On what date did the Bruce Dewar Mckelvy receive the assignment of its 1841312667 from the Centers for Medicare & Medicaid Services?
The Bruce Dewar Mckelvy was issued its 1841312667 by the Centers for Medicare & Medicaid Services on 2007-04-04.
When was the information regarding Bruce Dewar Mckelvy, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Bruce Dewar Mckelvy, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.