Kenneth Alan Shimizu in Sunnyvale - Orthodontics And Dentofacial Orthopedics
Kenneth Alan Shimizu - NPI 1235329566
Kenneth Alan Shimizu is a Orthodontics And Dentofacial Orthopedics in Sunnyvale, California. Kenneth Alan Shimizu practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kenneth Alan Shimizu is 1235329566. The last update date is 2007-08-01.
Kenneth Alan Shimizu's current location address is 877 W Fremont Ave, Sunnyvale, California. You can contact this provider via phone number 4087381314 and fax number 4087388215. The mailing address for Kenneth Alan Shimizu is 877 W Fremont Ave, Sunnyvale, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth Alan Shimizu |
|---|---|
| Address | 877 W Fremont Ave, Sunnyvale, California |
| Phone Number | 4087381314 |
| Fax Number | 4087388215 |
| Sole Proprietor | Y |
| Credentials | D.D.S., M. |
NPI Number Detail
| NPI Number | 1235329566 |
|---|---|
| Provider Enumeration Date | 2007-08-01 |
| Last Updated Date | 2007-08-01 |
Provider Mailing Address Detail
| Address | 877 W Fremont Ave |
|---|---|
| City | Sunnyvale |
| State | California (CA) |
| Post Code | 940872315 |
| Phone Number | 4087381314 |
| Fax Number | 4087388215 |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 33851 |
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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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What is the Kenneth Alan Shimizu's unique identification number?
The Kenneth Alan Shimizu has been assigned the NPI (National Provider Identifier) Number 1235329566 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Where is the Kenneth Alan Shimizu located?
The Kenneth Alan Shimizu is located at 877 W Fremont Ave, Sunnyvale, CA 940872315.
What is the Kenneth Alan Shimizu's specialty and taxonomy code?
The Kenneth Alan Shimizu's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1235329566 to Kenneth Alan Shimizu?
The Centers for Medicare & Medicaid Services originally issued the 1235329566 to Kenneth Alan Shimizu on 2007-08-01.
When was the information pertaining to Kenneth Alan Shimizu most recently updated or revised?
The details related to Kenneth Alan Shimizu, including its address, specialty, and other relevant information, were last updated or revised on 2007-08-01.