Corrine Ann Cline-Fortunato in Scotts Valley - Oral And Maxillofacial Surgery

Corrine Ann Cline-Fortunato - NPI 1225142649

Corrine Ann Cline-Fortunato is a Oral And Maxillofacial Surgery in Scotts Valley, California. Corrine Ann Cline-Fortunato practices all healthcare services and medical treatments related to Oral And Maxillofacial Surgery. The NPI Number for Corrine Ann Cline-Fortunato is 1225142649. The last update date is 2023-03-07.

Corrine Ann Cline-Fortunato's current location address is 223 Mount Hermon Road, Scotts Valley, California. You can contact this provider via phone number 8314309910 and fax number 8314409914. The mailing address for Corrine Ann Cline-Fortunato is 223 Mount Hermon Road, Scotts Valley, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Corrine Ann Cline-Fortunato
Address 223 Mount Hermon Road, Scotts Valley, California
Phone Number 8314309910
Fax Number 8314409914
Sole Proprietor N
Credentials DDS

NPI Number Detail

NPI Number 1225142649
Provider Enumeration Date 2006-08-19
Last Updated Date 2023-03-07

Provider Mailing Address Detail

Address 223 Mount Hermon Road
City Scotts Valley
State California (CA)
Post Code 95066
Phone Number 8314309910
Fax Number 8314409914

Provider's Primary Taxonomy Detail

Speciality Oral And Maxillofacial Surgery
Taxonomy 1223S0112X
Licence No 41379
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
1098 CA ANESTHESIA LICENSE
1098 CA GA PERMIT

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FAQs about Corrine Ann Cline-Fortunato

What is the unique identifier code issued to Corrine Ann Cline-Fortunato by the Centers for Medicare & Medicaid Services?

The Corrine Ann Cline-Fortunato has been assigned the NPI (National Provider Identifier) 1225142649. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).

Could you kindly provide the complete physical address where Corrine Ann Cline-Fortunato's facilities are geographically located?

The facilities of Corrine Ann Cline-Fortunato are physically situated at the following location: 223 Mount Hermon Road, Scotts Valley, CA, 95066.

What is Corrine Ann Cline-Fortunato's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Corrine Ann Cline-Fortunato's specialized field of practice is Oral And Maxillofacial Surgery, and the corresponding taxonomy code that categorizes this area of specialization is 1223S0112X.

On what date did Corrine Ann Cline-Fortunato receive its 1225142649 assignment from the Centers for Medicare & Medicaid Services?

The Corrine Ann Cline-Fortunato was assigned its 1225142649 on 2006-08-19, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Corrine Ann Cline-Fortunato, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Corrine Ann Cline-Fortunato, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2023-03-07.

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