Edward Tracy Sall in San Diego - Orthodontics And Dentofacial Orthopedics
Edward Tracy Sall - NPI 1710961198
Edward Tracy Sall is a Orthodontics And Dentofacial Orthopedics in San Diego, California. Edward Tracy Sall practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Edward Tracy Sall is 1710961198. The last update date is 2021-08-24.
Edward Tracy Sall's current location address is 5471 Kearny Villa Rd Ste 200, San Diego, California. You can contact this provider via phone number 8668019440. The mailing address for Edward Tracy Sall is 5471 Kearny Villa Rd Ste 200, San Diego, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | Edward Tracy Sall |
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Address | 5471 Kearny Villa Rd Ste 200, San Diego, California |
Phone Number | 8668019440 |
Fax Number | |
Sole Proprietor | N |
Credentials | MD,DDS |
NPI Number Detail
NPI Number | 1710961198 |
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Provider Enumeration Date | 2005-11-30 |
Last Updated Date | 2021-08-24 |
Provider Mailing Address Detail
Address | 5471 Kearny Villa Rd Ste 200 |
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City | San Diego |
State | California (CA) |
Post Code | 921231143 |
Phone Number | 8668019440 |
Fax Number |
Provider's Primary Taxonomy Detail
Speciality | Orthodontics And Dentofacial Orthopedics |
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Taxonomy | 1223X0400X |
Licence No | 104553 |
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 Edward Tracy Sall's unique identification number?
The Edward Tracy Sall has been assigned the NPI (National Provider Identifier) Number 1710961198 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Can you provide the Edward Tracy Sall's physical address?
The Edward Tracy Sall is physically located at 5471 Kearny Villa Rd Ste 200, in the city of San Diego, CA, with the postal code 921231143.
What is Edward Tracy Sall's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Edward Tracy Sall is Orthodontics And Dentofacial Orthopedics, and the taxonomy code that classifies this field of practice is 1223X0400X.
On what date did Edward Tracy Sall receive its 1710961198 assignment from the Centers for Medicare & Medicaid Services?
The Edward Tracy Sall was assigned its 1710961198 on 2005-11-30, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information regarding Edward Tracy Sall, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Edward Tracy Sall, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2021-08-24.