Tal Dean Jergensen in Temecula - Orthodontics And Dentofacial Orthopedics
Tal Dean Jergensen - NPI 1285749168
Tal Dean Jergensen is a Orthodontics And Dentofacial Orthopedics in Temecula, California. Tal Dean Jergensen practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Tal Dean Jergensen is 1285749168. The last update date is 2022-07-19.
Tal Dean Jergensen's current location address is 43980 Margarita Rd Ste 101, Temecula, California. You can contact this provider via phone number 9516939373 and fax number 9516999337. The mailing address for Tal Dean Jergensen is 43980 Margarita Rd Ste 101, Temecula, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tal Dean Jergensen |
|---|---|
| Address | 43980 Margarita Rd Ste 101, Temecula, California |
| Phone Number | 9516939373 |
| Fax Number | 9516999337 |
| Sole Proprietor | Y |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1285749168 |
|---|---|
| Provider Enumeration Date | 2006-08-20 |
| Last Updated Date | 2022-07-19 |
Provider Mailing Address Detail
| Address | 43980 Margarita Rd Ste 101 |
|---|---|
| City | Temecula |
| State | California (CA) |
| Post Code | 925922783 |
| Phone Number | 9516939373 |
| Fax Number | 9516999337 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 40621 |
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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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What is the unique provider identifier assigned to Tal Dean Jergensen?
The Tal Dean Jergensen has been issued the NPI (National Provider Identifier) 1285749168 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Can you provide the Tal Dean Jergensen's physical address?
The Tal Dean Jergensen is physically located at 43980 Margarita Rd Ste 101, in the city of Temecula, CA, with the postal code 925922783.
What is the Tal Dean Jergensen's specialty and taxonomy code?
The Tal Dean Jergensen's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did Tal Dean Jergensen receive its 1285749168 assignment from the Centers for Medicare & Medicaid Services?
The Tal Dean Jergensen was assigned its 1285749168 on 2006-08-20, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Tal Dean Jergensen's information last updated?
The Tal Dean Jergensen's information was last updated on 2022-07-19.
NPI Number: 1932102142
Address: St. Jude Children's Research Hospital, Memphis, TN