Traci R. Fernandes, Dds, Inc in Pismo Beach - Orthodontics And Dentofacial Orthopedics
Traci R. Fernandes, Dds, Inc - NPI 1225042120
Traci R. Fernandes, Dds, Inc is a Orthodontics And Dentofacial Orthopedics in Pismo Beach, California. Traci R. Fernandes, Dds, Inc practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Traci R. Fernandes, Dds, Inc is 1225042120. The last update date is 2020-08-22.
Traci R. Fernandes, Dds, Inc's current location address is 901 Oak Park Blvd, Pismo Beach, California. You can contact this provider via phone number 8054898232 and fax number 8054898234. The mailing address for Traci R. Fernandes, Dds, Inc is 901 Oak Park Blvd, Pismo Beach, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Traci R. Fernandes, Dds, Inc |
|---|---|
| Address | 901 Oak Park Blvd, Pismo Beach, California |
| Phone Number | 8054898232 |
| Fax Number | 8054898234 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ORTHODONTI |
|---|---|
| Authorized Official Name | Fernandes R. Traci |
| Credentials | DDS, MS |
| Telephone Number | 8054898232 |
NPI Number Detail
| NPI Number | 1225042120 |
|---|---|
| Provider Enumeration Date | 2006-07-28 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 901 Oak Park Blvd |
|---|---|
| City | Pismo Beach |
| State | California (CA) |
| Post Code | 934493216 |
| Phone Number | 8054898232 |
| Fax Number | 8054898234 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 41830 |
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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 provider identifier assigned to Traci R. Fernandes, Dds, Inc?
The Traci R. Fernandes, Dds, Inc has been issued the NPI (National Provider Identifier) 1225042120 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you provide the complete physical address where Traci R. Fernandes, Dds, Inc is located?
The Traci R. Fernandes, Dds, Inc is situated at the following address: 901 Oak Park Blvd, Pismo Beach, CA, 934493216.
What is Traci R. Fernandes, Dds, Inc's specialized field of practice, and what is the corresponding taxonomy classification code?
The Traci R. Fernandes, Dds, Inc's area of specialization is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code that categorizes this field of practice is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1225042120 to Traci R. Fernandes, Dds, Inc?
The Centers for Medicare & Medicaid Services assigned the 1225042120 to Traci R. Fernandes, Dds, Inc on 2006-07-28.
When was the Traci R. Fernandes, Dds, Inc's information last updated?
The Traci R. Fernandes, Dds, Inc's information was last updated on 2020-08-22.