Kimberly A Ebner Dds Inc in Pasadena - Oral And Maxillofacial Surgery

Kimberly A Ebner Dds Inc - NPI 1801872395

Kimberly A Ebner Dds Inc is a Oral And Maxillofacial Surgery in Pasadena, California. Kimberly A Ebner Dds Inc practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Kimberly A Ebner Dds Inc is 1801872395. The last update date is 2007-10-25.

Kimberly A Ebner Dds Inc's current location address is 1060 E Green Street, Pasadena, California. You can contact this provider via phone number 6267969246 and fax number 6265648395. The mailing address for Kimberly A Ebner Dds Inc is 1060 E Green Street, Pasadena, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Kimberly A Ebner Dds Inc
Address 1060 E Green Street, Pasadena, California
Phone Number 6267969246
Fax Number 6265648395
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER
Authorized Official Name Ebner Kimberly Ann
Credentials DDS
Telephone Number 6267969246

NPI Number Detail

NPI Number 1801872395
Provider Enumeration Date 2005-12-16
Last Updated Date 2007-10-25

Provider Mailing Address Detail

Address 1060 E Green Street
City Pasadena
State California (CA)
Post Code 91106
Phone Number 6267969246
Fax Number 6265648395

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No D37328
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
877058 UNITED CONCORDIA

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FAQs about Kimberly A Ebner Dds Inc

What is the unique provider identifier assigned to Kimberly A Ebner Dds Inc?

The Kimberly A Ebner Dds Inc has been issued the NPI (National Provider Identifier) 1801872395 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.

Could you please provide the complete physical location address of Kimberly A Ebner Dds Inc?

The Kimberly A Ebner Dds Inc is physically situated at 1060 E Green Street, in the city of Pasadena, state of CA, with the postal code 91106.

What is Kimberly A Ebner Dds Inc's specialized field of practice, and what is the corresponding taxonomy classification code?

The Kimberly A Ebner Dds Inc's area of specialization is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this field of practice is 1223S0112X.

When was the Kimberly A Ebner Dds Inc's 1801872395 issued?

The Kimberly A Ebner Dds Inc's 1801872395 was issued on 2005-12-16.

As of what date were the details pertaining to Kimberly A Ebner Dds Inc last refreshed?

The information related to the Kimberly A Ebner Dds Inc, including its address, specialty, and other relevant details, was last updated on 2007-10-25.

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