Jeffrey Lee Hollister in San Luis Obispo - Periodontics
Jeffrey Lee Hollister - NPI 1518164482
Jeffrey Lee Hollister is a Periodontics in San Luis Obispo, California. Jeffrey Lee Hollister practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Jeffrey Lee Hollister is 1518164482. The last update date is 2007-07-08.
Jeffrey Lee Hollister's current location address is 1288 Morro St Ste 110, San Luis Obispo, California. You can contact this provider via phone number 8055490380 and fax number 8055477084. The mailing address for Jeffrey Lee Hollister is 1288 Morro St Ste 110, San Luis Obispo, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffrey Lee Hollister |
|---|---|
| Address | 1288 Morro St Ste 110, San Luis Obispo, California |
| Phone Number | 8055490380 |
| Fax Number | 8055477084 |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1518164482 |
|---|---|
| Provider Enumeration Date | 2007-07-02 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1288 Morro St Ste 110 |
|---|---|
| City | San Luis Obispo |
| State | California (CA) |
| Post Code | 934016303 |
| Phone Number | 8055490380 |
| Fax Number | 8055477084 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 40156 |
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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 Jeffrey Lee Hollister's unique identification number?
The Jeffrey Lee Hollister has been assigned the NPI (National Provider Identifier) Number 1518164482 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you provide the complete address where Jeffrey Lee Hollister is physically located?
The Jeffrey Lee Hollister is situated at the following address: 1288 Morro St Ste 110, San Luis Obispo, CA 934016303.
What is Jeffrey Lee Hollister's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Jeffrey Lee Hollister is Periodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0300X.
On what date did the Centers for Medicare & Medicaid Services assign the 1518164482 to Jeffrey Lee Hollister?
The Centers for Medicare & Medicaid Services assigned the 1518164482 to Jeffrey Lee Hollister on 2007-07-02.
When was the Jeffrey Lee Hollister's information last updated?
The Jeffrey Lee Hollister's information was last updated on 2007-07-08.