Gerret W Osendorf in Santa Rosa - General Practice
Gerret W Osendorf - NPI 1639363971
Gerret W Osendorf is a General Practice in Santa Rosa, California. Gerret W Osendorf practices all healthcare services and medical treatments related to General Practice. The NPI Number for Gerret W Osendorf is 1639363971. The last update date is 2021-03-17.
Gerret W Osendorf's current location address is 55 Elaine Dr, Santa Rosa, California. You can contact this provider via phone number 7075237423. The mailing address for Gerret W Osendorf is 55 Elaine Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gerret W Osendorf |
|---|---|
| Address | 55 Elaine Dr, Santa Rosa, California |
| Phone Number | 7075237423 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1639363971 |
|---|---|
| Provider Enumeration Date | 2007-08-29 |
| Last Updated Date | 2021-03-17 |
Provider Mailing Address Detail
| Address | 55 Elaine Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954094248 |
| Phone Number | 7075237423 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | General Practice |
|---|---|
| Taxonomy | 1223G0001X |
| Licence No | 56052 |
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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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What is the unique identifier code issued to Gerret W Osendorf by the Centers for Medicare & Medicaid Services?
The Gerret W Osendorf has been assigned the NPI (National Provider Identifier) 1639363971. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Gerret W Osendorf is physically located?
The Gerret W Osendorf is physically situated at the following address: 55 Elaine Dr, Santa Rosa, CA, 954094248.
What is Gerret W Osendorf's specialized field of practice, and what is the corresponding taxonomy classification code?
The Gerret W Osendorf's area of specialization is General Practice, and the corresponding taxonomy code that categorizes this field of practice is 1223G0001X.
When was the Gerret W Osendorf's 1639363971 issued?
The Gerret W Osendorf's 1639363971 was issued on 2007-08-29.
As of what date were the details related to Gerret W Osendorf most recently updated or revised?
The information pertaining to Gerret W Osendorf, including its address, specialty, and other relevant details, was last updated or revised on 2021-03-17.