Jerry H. Watanabe in San Ramon - Orthodontics And Dentofacial Orthopedics
Jerry H. Watanabe - NPI 1558486514
Jerry H. Watanabe is a Orthodontics And Dentofacial Orthopedics in San Ramon, California. Jerry H. Watanabe practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Jerry H. Watanabe is 1558486514. The last update date is 2007-07-08.
Jerry H. Watanabe's current location address is 9301 Fircrest Ln Ste 1, San Ramon, California. You can contact this provider via phone number 9258286972. The mailing address for Jerry H. Watanabe is 9301 Fircrest Ln Ste 1, San Ramon, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jerry H. Watanabe |
|---|---|
| Address | 9301 Fircrest Ln Ste 1, San Ramon, California |
| Phone Number | 9258286972 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1558486514 |
|---|---|
| Provider Enumeration Date | 2007-03-20 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 9301 Fircrest Ln Ste 1 |
|---|---|
| City | San Ramon |
| State | California (CA) |
| Post Code | 945833960 |
| Phone Number | 9258286972 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 18039 |
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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 Jerry H. Watanabe's 1558486514?
The Jerry H. Watanabe's NPI (National Provider Identifier) Number is 1558486514. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Jerry H. Watanabe?
The Jerry H. Watanabe is situated at 9301 Fircrest Ln Ste 1, in the city of San Ramon, state of CA, with the zip code 945833960.
What is Jerry H. Watanabe's specialized field of practice, and what is the corresponding taxonomy classification code?
The Jerry H. Watanabe'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 issue the 1558486514 to Jerry H. Watanabe?
The Jerry H. Watanabe received its 1558486514 assignment from the Centers for Medicare & Medicaid Services on 2007-03-20.
When was the information related to Jerry H. Watanabe most recently updated or refreshed?
The details pertaining to the Jerry H. Watanabe, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.