Dennis Wade Calvert in San Jose - Periodontics
Dennis Wade Calvert - NPI 1508963554
Dennis Wade Calvert is a Periodontics in San Jose, California. Dennis Wade Calvert practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Dennis Wade Calvert is 1508963554. The last update date is 2007-07-08.
Dennis Wade Calvert's current location address is 150 N Jackson Ave, San Jose, California. You can contact this provider via phone number 4082727600 and fax number 4082727621. The mailing address for Dennis Wade Calvert is 150 N Jackson Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dennis Wade Calvert |
|---|---|
| Address | 150 N Jackson Ave, San Jose, California |
| Phone Number | 4082727600 |
| Fax Number | 4082727621 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1508963554 |
|---|---|
| Provider Enumeration Date | 2006-09-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 150 N Jackson Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951161908 |
| Phone Number | 4082727600 |
| Fax Number | 4082727621 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 23805 |
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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 Dennis Wade Calvert's 1508963554?
The Dennis Wade Calvert's NPI (National Provider Identifier) Number is 1508963554. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Dennis Wade Calvert's facilities are situated?
The facilities of Dennis Wade Calvert are physically located at the following address: 150 N Jackson Ave, San Jose, CA, 951161908.
What is the Dennis Wade Calvert's area of specialization and corresponding taxonomy classification?
The Dennis Wade Calvert's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
When did the Dennis Wade Calvert receive its 1508963554?
The Dennis Wade Calvert was issued its 1508963554 on 2006-09-20, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Dennis Wade Calvert, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Dennis Wade Calvert, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.