Gregg Alan Tartakow in Marina Del Rey - Orthodontics And Dentofacial Orthopedics
Gregg Alan Tartakow - NPI 1265640635
Gregg Alan Tartakow is a Orthodontics And Dentofacial Orthopedics in Marina Del Rey, California. Gregg Alan Tartakow practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Gregg Alan Tartakow is 1265640635. The last update date is 2012-04-12.
Gregg Alan Tartakow's current location address is 4712 Admiralty Way, Marina Del Rey, California. You can contact this provider via phone number 3107289230. The mailing address for Gregg Alan Tartakow is 4712 Admiralty Way, Marina Del Rey, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gregg Alan Tartakow |
|---|---|
| Address | 4712 Admiralty Way, Marina Del Rey, California |
| Phone Number | 3107289230 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | D.M.D. |
NPI Number Detail
| NPI Number | 1265640635 |
|---|---|
| Provider Enumeration Date | 2007-05-18 |
| Last Updated Date | 2012-04-12 |
Provider Mailing Address Detail
| Address | 4712 Admiralty Way |
|---|---|
| City | Marina Del Rey |
| State | California (CA) |
| Post Code | 902926905 |
| Phone Number | 3107289230 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 54076 |
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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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Post Comment/ Review Below
What is the unique 10-digit identifier code assigned to Gregg Alan Tartakow by the Centers for Medicare & Medicaid Services?
The Gregg Alan Tartakow has been issued the NPI (National Provider Identifier) 1265640635 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.
Could you share the physical location details of Gregg Alan Tartakow?
The Gregg Alan Tartakow is situated at 4712 Admiralty Way, in the city of Marina Del Rey, state of CA, with the zip code 902926905.
What is Gregg Alan Tartakow's area of expertise and its corresponding taxonomy classification?
The Gregg Alan Tartakow's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
On what date did the Gregg Alan Tartakow receive its 1265640635 assignment from the Centers for Medicare & Medicaid Services?
The Gregg Alan Tartakow was assigned its 1265640635 by the Centers for Medicare & Medicaid Services on 2007-05-18.
As of what date was the information pertaining to Gregg Alan Tartakow, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Gregg Alan Tartakow, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2012-04-12.
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