Fumio Shibata Dds A Professional Corp in San Rafael - Periodontics
Fumio Shibata Dds A Professional Corp - NPI 1447380928
Fumio Shibata Dds A Professional Corp is a Periodontics in San Rafael, California. Fumio Shibata Dds A Professional Corp practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Fumio Shibata Dds A Professional Corp is 1447380928. The last update date is 2020-08-22.
Fumio Shibata Dds A Professional Corp's current location address is Po Box 4447, San Rafael, California. You can contact this provider via phone number 4156087823. The mailing address for Fumio Shibata Dds A Professional Corp is Po Box 4447, San Rafael, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Fumio Shibata Dds A Professional Corp |
|---|---|
| Address | Po Box 4447, San Rafael, California |
| Phone Number | 4156087823 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Shibata Fumio |
| Credentials | DDS |
| Telephone Number | 4156087823 |
NPI Number Detail
| NPI Number | 1447380928 |
|---|---|
| Provider Enumeration Date | 2007-03-06 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | Po Box 4447 |
|---|---|
| City | San Rafael |
| State | California (CA) |
| Post Code | 949134447 |
| Phone Number | 4156087823 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
|
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 Fumio Shibata Dds A Professional Corp's 1447380928?
The Fumio Shibata Dds A Professional Corp's NPI (National Provider Identifier) Number is 1447380928. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Fumio Shibata Dds A Professional Corp?
The Fumio Shibata Dds A Professional Corp is physically situated at Po Box 4447, in the city of San Rafael, state of CA, with the postal code 949134447.
What is Fumio Shibata Dds A Professional Corp's area of expertise and its corresponding taxonomy classification?
The Fumio Shibata Dds A Professional Corp's field of specialization is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their areas of practice.
On what date was the 1447380928 assigned to Fumio Shibata Dds A Professional Corp?
The Fumio Shibata Dds A Professional Corp was issued its 1447380928 on 2007-03-06, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the details related to Fumio Shibata Dds A Professional Corp most recently updated or revised?
The information pertaining to Fumio Shibata Dds A Professional Corp, including its address, specialty, and other relevant details, was last updated or revised on 2020-08-22.
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