Brent Eugene Shakespeare in San Bernardino - General Practice
Brent Eugene Shakespeare - NPI 1184844920
Brent Eugene Shakespeare is a General Practice in San Bernardino, California. Brent Eugene Shakespeare practices all healthcare services and medical treatments related to General Practice. The NPI Number for Brent Eugene Shakespeare is 1184844920. The last update date is 2013-04-15.
Brent Eugene Shakespeare's current location address is 1454 E 2nd St, San Bernardino, California. You can contact this provider via phone number 9093827146 and fax number 9093827101. The mailing address for Brent Eugene Shakespeare is 1454 E 2nd St, San Bernardino, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Brent Eugene Shakespeare |
|---|---|
| Address | 1454 E 2nd St, San Bernardino, California |
| Phone Number | 9093827146 |
| Fax Number | 9093827101 |
| Sole Proprietor | N |
| Credentials | D.D.S. |
NPI Number Detail
| NPI Number | 1184844920 |
|---|---|
| Provider Enumeration Date | 2007-04-26 |
| Last Updated Date | 2013-04-15 |
Provider Mailing Address Detail
| Address | 1454 E 2nd St |
|---|---|
| City | San Bernardino |
| State | California (CA) |
| Post Code | 924080118 |
| Phone Number | 9093827146 |
| Fax Number | 9093827101 |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 36872 |
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Definition: A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36872 | CA | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Brent Eugene Shakespeare by the Centers for Medicare & Medicaid Services?
The Brent Eugene Shakespeare has been assigned the NPI (National Provider Identifier) 1184844920 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you provide the complete address where Brent Eugene Shakespeare is physically located?
The Brent Eugene Shakespeare is situated at the following address: 1454 E 2Nd St, San Bernardino, CA 924080118.
What is Brent Eugene Shakespeare's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Brent Eugene Shakespeare is General Practice, and the taxonomy code that categorizes this field of expertise is 1223G0001X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1184844920 to Brent Eugene Shakespeare?
The Centers for Medicare & Medicaid Services originally issued the 1184844920 to Brent Eugene Shakespeare on 2007-04-26.
As of what date was the information regarding Brent Eugene Shakespeare, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Brent Eugene Shakespeare, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2013-04-15.
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