Charles Joseph Goodacre in Upland - Prosthodontics
Charles Joseph Goodacre - NPI 1235267774
Charles Joseph Goodacre is a Prosthodontics in Upland, California. Charles Joseph Goodacre practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Charles Joseph Goodacre is 1235267774. The last update date is 2020-08-05.
Charles Joseph Goodacre's current location address is 250 East 7th Street, Upland, California. You can contact this provider via phone number 9095584683 and fax number 9095580483. The mailing address for Charles Joseph Goodacre is 250 East 7th Street, Upland, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Joseph Goodacre |
|---|---|
| Address | 250 East 7th Street, Upland, California |
| Phone Number | 9095584683 |
| Fax Number | 9095580483 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1235267774 |
|---|---|
| Provider Enumeration Date | 2007-02-28 |
| Last Updated Date | 2020-08-05 |
Provider Mailing Address Detail
| Address | 250 East 7th Street |
|---|---|
| City | Upland |
| State | California (CA) |
| Post Code | 91786 |
| Phone Number | 9095584683 |
| Fax Number | 9095580483 |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 42510 |
|
Definition: That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 149710156 | CA | AMER. DENTAL ASSOC. # | |
| 42510 | CA | CALIF. DENTAL ASSOC. # |
Post Comment/ Review Below
What is the unique provider identifier assigned to Charles Joseph Goodacre?
The Charles Joseph Goodacre has been issued the NPI (National Provider Identifier) 1235267774 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please share the complete physical location address where Charles Joseph Goodacre's facilities are situated?
The facilities of Charles Joseph Goodacre are physically located at the following address: 250 East 7Th Street, Upland, CA, 91786.
What is the Charles Joseph Goodacre's area of specialization and corresponding taxonomy classification?
The Charles Joseph Goodacre's specialty field is Prosthodontics, and it falls under the taxonomy code 1223P0700X, which categorizes healthcare providers based on their specialties.
On what date did the Charles Joseph Goodacre receive the assignment of its 1235267774 from the Centers for Medicare & Medicaid Services?
The Charles Joseph Goodacre was issued its 1235267774 by the Centers for Medicare & Medicaid Services on 2007-02-28.
As of what date was the information regarding Charles Joseph Goodacre, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Charles Joseph Goodacre, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2020-08-05.