John Joseph Petrini in Walnut Creek - Prosthodontics
John Joseph Petrini - NPI 1679634679
John Joseph Petrini is a Prosthodontics in Walnut Creek, California. John Joseph Petrini practices all healthcare services and medical treatments related to Prosthodontics. The NPI Number for John Joseph Petrini is 1679634679. The last update date is 2020-05-26.
John Joseph Petrini's current location address is 1111 Civic Dr, Walnut Creek, California. You can contact this provider via phone number 9259354040. The mailing address for John Joseph Petrini is 1111 Civic Dr, Walnut Creek, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | John Joseph Petrini |
|---|---|
| Address | 1111 Civic Dr, Walnut Creek, California |
| Phone Number | 9259354040 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S, M.S |
NPI Number Detail
| NPI Number | 1679634679 |
|---|---|
| Provider Enumeration Date | 2006-12-13 |
| Last Updated Date | 2020-05-26 |
Provider Mailing Address Detail
| Address | 1111 Civic Dr |
|---|---|
| City | Walnut Creek |
| State | California (CA) |
| Post Code | 945963895 |
| Phone Number | 9259354040 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Prosthodontics |
|---|---|
| Taxonomy | 1223P0700X |
| Licence No | 60724749 |
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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 |
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What is the unique 10-digit identifier code issued to John Joseph Petrini by the Centers for Medicare & Medicaid Services?
The John Joseph Petrini has been assigned the NPI (National Provider Identifier) 1679634679 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 John Joseph Petrini is located?
The John Joseph Petrini is situated at the following address: 1111 Civic Dr, Walnut Creek, CA, 945963895.
What is the John Joseph Petrini's area of specialization and corresponding taxonomy classification?
The John Joseph Petrini'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 John Joseph Petrini receive the assignment of its 1679634679 from the Centers for Medicare & Medicaid Services?
The John Joseph Petrini was issued its 1679634679 by the Centers for Medicare & Medicaid Services on 2006-12-13.
When was the information pertaining to John Joseph Petrini most recently updated or revised?
The details related to John Joseph Petrini, including its address, specialty, and other relevant information, were last updated or revised on 2020-05-26.