Sean Martin Collins in Lodi - Orthodontics And Dentofacial Orthopedics

Sean Martin Collins - NPI 1538254404

Sean Martin Collins is a Orthodontics And Dentofacial Orthopedics in Lodi, California. Sean Martin Collins practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Sean Martin Collins is 1538254404. The last update date is 2007-07-08.

Sean Martin Collins's current location address is 630 S Fairmont Ave Ste B, Lodi, California. You can contact this provider via phone number 2093673595 and fax number 2093679276. The mailing address for Sean Martin Collins is 630 S Fairmont Ave Ste B, Lodi, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Sean Martin Collins
Address 630 S Fairmont Ave Ste B, Lodi, California
Phone Number 2093673595
Fax Number 2093679276
Sole Proprietor N
Credentials D.D.S., M.

NPI Number Detail

NPI Number 1538254404
Provider Enumeration Date 2006-10-04
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 630 S Fairmont Ave Ste B
City Lodi
State California (CA)
Post Code 952403803
Phone Number 2093673595
Fax Number 2093679276

Provider's Primary Taxonomy Detail

Speciality Orthodontics And Dentofacial Orthopedics
Taxonomy 1223X0400X
Licence No 36740
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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FAQs about Sean Martin Collins

What is the unique identification code assigned to Sean Martin Collins by the Centers for Medicare & Medicaid Services?

The Sean Martin Collins has been issued the NPI (National Provider Identifier) 1538254404. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you please share the complete physical location address where Sean Martin Collins's facilities are situated?

The facilities of Sean Martin Collins are physically located at the following address: 630 S Fairmont Ave Ste B, Lodi, CA, 952403803.

What is the Sean Martin Collins's area of specialization and corresponding taxonomy classification?

The Sean Martin Collins's specialty field is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their specialties.

On what date did the Sean Martin Collins receive the assignment of its 1538254404 from the Centers for Medicare & Medicaid Services?

The Sean Martin Collins was issued its 1538254404 by the Centers for Medicare & Medicaid Services on 2006-10-04.

As of what date were the details related to Sean Martin Collins most recently updated or revised?

The information pertaining to Sean Martin Collins, including its address, specialty, and other relevant details, was last updated or revised on 2007-07-08.

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