Brock B Westover in San Fernando - Prosthodontics
Brock B Westover - NPI 1700949518
Brock B Westover is a Prosthodontics in San Fernando, California. Brock B Westover practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for Brock B Westover is 1700949518. The last update date is 2021-11-12.
Brock B Westover's current location address is 1101 Truman St, San Fernando, California. You can contact this provider via phone number 7145713672. The mailing address for Brock B Westover is 1101 Truman St, San Fernando, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brock B Westover |
|---|---|
| Address | 1101 Truman St, San Fernando, California |
| Phone Number | 7145713672 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1700949518 |
|---|---|
| Provider Enumeration Date | 2006-12-19 |
| Last Updated Date | 2021-11-12 |
Provider Mailing Address Detail
| Address | 1101 Truman St |
|---|---|
| City | San Fernando |
| State | California (CA) |
| Post Code | 913403237 |
| Phone Number | 7145713672 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 2516-89 |
|
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 |
|---|---|---|---|
| 72-1343206 | MS | T.I.N. |
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What is the unique 10-digit identifier code issued to Brock B Westover by the Centers for Medicare & Medicaid Services?
The Brock B Westover has been assigned the NPI (National Provider Identifier) 1700949518 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete physical address where Brock B Westover is located?
The Brock B Westover is situated at the following address: 1101 Truman St, San Fernando, CA, 913403237.
What is Brock B Westover's primary area of medical expertise, and what taxonomy classification code corresponds to this specialized field?
The primary area of medical expertise for Brock B Westover is Prosthodontics, and the corresponding taxonomy classification code for this specialized field is 1223P0700X.
On what date did the Brock B Westover receive its 1700949518 assignment from the Centers for Medicare & Medicaid Services?
The Brock B Westover was assigned its 1700949518 by the Centers for Medicare & Medicaid Services on 2006-12-19.
When was the Brock B Westover's information last updated?
The Brock B Westover's information was last updated on 2021-11-12.