Wayne K. Tanaka in Loma Linda - Oral And Maxillofacial Surgery

Wayne K. Tanaka - NPI 1922159466

Wayne K. Tanaka is a Oral And Maxillofacial Surgery in Loma Linda, California. Wayne K. Tanaka practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Wayne K. Tanaka is 1922159466. The last update date is 2007-07-09.

Wayne K. Tanaka's current location address is 11092 University Ct Rm 3306, Loma Linda, California. You can contact this provider via phone number 9095584671 and fax number 9095580285. The mailing address for Wayne K. Tanaka is 11092 University Ct Rm 3306, Loma Linda, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Wayne K. Tanaka
Address 11092 University Ct Rm 3306, Loma Linda, California
Phone Number 9095584671
Fax Number 9095580285
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1922159466
Provider Enumeration Date 2007-01-12
Last Updated Date 2007-07-09

Provider Mailing Address Detail

Address 11092 University Ct Rm 3306
City Loma Linda
State California (CA)
Post Code 923500001
Phone Number 9095584671
Fax Number 9095580285

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 51201
Definition:
The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
GR0079700 CA --
00SP18300 CA --

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FAQs about Wayne K. Tanaka

What is the Wayne K. Tanaka's 1922159466?

The Wayne K. Tanaka's NPI (National Provider Identifier) Number is 1922159466. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Wayne K. Tanaka's facilities are geographically located?

The facilities of Wayne K. Tanaka are physically situated at the following location: 11092 University Ct Rm 3306, Loma Linda, CA, 923500001.

What is Wayne K. Tanaka's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Wayne K. Tanaka's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

When was the Wayne K. Tanaka's 1922159466 issued?

The Wayne K. Tanaka's 1922159466 was issued on 2007-01-12.

When was the information regarding Wayne K. Tanaka, such as address, specialty, and other details, most recently verified or confirmed to be accurate?

The information pertaining to Wayne K. Tanaka, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-09.

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