Kenneth L. Stasun D.D.S. A Professional Corporateon in Half Moon Bay - Orthodontics And Dentofacial Orthopedics
Kenneth L. Stasun D.D.S. A Professional Corporateon - NPI 1831214303
Kenneth L. Stasun D.D.S. A Professional Corporateon is a Orthodontics And Dentofacial Orthopedics in Half Moon Bay, California. Kenneth L. Stasun D.D.S. A Professional Corporateon practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kenneth L. Stasun D.D.S. A Professional Corporateon is 1831214303. The last update date is 2020-08-22.
Kenneth L. Stasun D.D.S. A Professional Corporateon's current location address is 423 Johnston St, Half Moon Bay, California. You can contact this provider via phone number 6507267523. The mailing address for Kenneth L. Stasun D.D.S. A Professional Corporateon is 423 Johnston St, Half Moon Bay, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Kenneth L. Stasun D.D.S. A Professional Corporateon |
|---|---|
| Address | 423 Johnston St, Half Moon Bay, California |
| Phone Number | 6507267523 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Stasun Louis Kenneth |
| Credentials | D.D.S. |
| Telephone Number | 6507267523 |
NPI Number Detail
| NPI Number | 1831214303 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 423 Johnston St |
|---|---|
| City | Half Moon Bay |
| State | California (CA) |
| Post Code | 940191717 |
| Phone Number | 6507267523 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 21516 |
|
Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Kenneth L. Stasun D.D.S. A Professional Corporateon by the Centers for Medicare & Medicaid Services?
The Kenneth L. Stasun D.D.S. A Professional Corporateon has been assigned the NPI (National Provider Identifier) 1831214303 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you please share the complete physical location address where Kenneth L. Stasun D.D.S. A Professional Corporateon's facilities are situated?
The facilities of Kenneth L. Stasun D.D.S. A Professional Corporateon are physically located at the following address: 423 Johnston St, Half Moon Bay, CA, 940191717.
What is Kenneth L. Stasun D.D.S. A Professional Corporateon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Kenneth L. Stasun D.D.S. A Professional Corporateon's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
When was the Kenneth L. Stasun D.D.S. A Professional Corporateon's 1831214303 issued?
The Kenneth L. Stasun D.D.S. A Professional Corporateon's 1831214303 was issued on 2007-03-20.
When was the information regarding Kenneth L. Stasun D.D.S. A Professional Corporateon, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Kenneth L. Stasun D.D.S. A Professional Corporateon, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2020-08-22.
NPI Number: 1982607784
Address: 54045 Ridge Rd, Yucca Valley, CA