Central Coast Pediatric Dental Group in Seaside - Pediatric Dentistry
Central Coast Pediatric Dental Group - NPI 1942333059
Central Coast Pediatric Dental Group is a Pediatric Dentistry in Seaside, California. Central Coast Pediatric Dental Group practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Central Coast Pediatric Dental Group is 1942333059. The last update date is 2020-08-22.
Central Coast Pediatric Dental Group's current location address is 1717 Fremont Blvd, Seaside, California. You can contact this provider via phone number 8318995437 and fax number 8318991188. The mailing address for Central Coast Pediatric Dental Group is 1717 Fremont Blvd, Seaside, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Central Coast Pediatric Dental Group |
|---|---|
| Address | 1717 Fremont Blvd, Seaside, California |
| Phone Number | 8318995437 |
| Fax Number | 8318991188 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | ADMINISTRA |
|---|---|
| Authorized Official Name | Lizaola M Anna |
| Telephone Number | 8314428878 |
NPI Number Detail
| NPI Number | 1942333059 |
|---|---|
| Provider Enumeration Date | 2007-03-14 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1717 Fremont Blvd |
|---|---|
| City | Seaside |
| State | California (CA) |
| Post Code | 93955 |
| Phone Number | 8318995437 |
| Fax Number | 8318991188 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 37400 |
|
Definition: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G9087503 | CA | -- |
Post Comment/ Review Below
What is the unique provider identifier assigned to Central Coast Pediatric Dental Group?
The Central Coast Pediatric Dental Group has been issued the NPI (National Provider Identifier) 1942333059 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you share the physical location details of Central Coast Pediatric Dental Group?
The Central Coast Pediatric Dental Group is situated at 1717 Fremont Blvd, in the city of Seaside, state of CA, with the zip code 93955.
What is Central Coast Pediatric Dental Group's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Central Coast Pediatric Dental Group is Pediatric Dentistry, and the taxonomy code that classifies this field of practice is 1223P0221X.
On what date was the 1942333059 assigned to Central Coast Pediatric Dental Group?
The Central Coast Pediatric Dental Group was issued its 1942333059 on 2007-03-14, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Central Coast Pediatric Dental Group most recently updated or refreshed?
The details pertaining to the Central Coast Pediatric Dental Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.