Christopher John Eitzen in San Diego - Pediatric Dentistry
Christopher John Eitzen - NPI 1932276607
Christopher John Eitzen is a Pediatric Dentistry in San Diego, California. Christopher John Eitzen practices all healthcare services and medical treatments related to Pediatric Dentistry. The NPI Number for Christopher John Eitzen is 1932276607. The last update date is 2007-07-08.
Christopher John Eitzen's current location address is 11508 Freshwind Court, San Diego, California. You can contact this provider via phone number 8586765000 and fax number 8586765016. The mailing address for Christopher John Eitzen is 11508 Freshwind Court, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Christopher John Eitzen |
|---|---|
| Address | 11508 Freshwind Court, San Diego, California |
| Phone Number | 8586765000 |
| Fax Number | 8586765016 |
| Sole Proprietor | N |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1932276607 |
|---|---|
| Provider Enumeration Date | 2006-11-29 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 11508 Freshwind Court |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 92127 |
| Phone Number | 8586765000 |
| Fax Number | 8586765016 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Dentistry |
|---|---|
| Taxonomy | 1223P0221X |
| Licence No | 46180 |
|
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. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 173912 | UNITED CONCORDIA INS ORTH | ||
| 809272 | UNITED CONCORDIA INS |
Post Comment/ Review Below
What is the unique identification code assigned to Christopher John Eitzen by the Centers for Medicare & Medicaid Services?
The Christopher John Eitzen has been issued the NPI (National Provider Identifier) 1932276607. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the Christopher John Eitzen located?
The Christopher John Eitzen is located at 11508 Freshwind Court, San Diego, CA 92127.
What is Christopher John Eitzen's specialized area of practice, and what is the corresponding taxonomy classification code for this field?
The Christopher John Eitzen's specialized field of practice is Pediatric Dentistry, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0221X.
On what date did the Centers for Medicare & Medicaid Services assign the 1932276607 to Christopher John Eitzen?
The Centers for Medicare & Medicaid Services assigned the 1932276607 to Christopher John Eitzen on 2006-11-29.
As of what date were the details pertaining to Christopher John Eitzen last refreshed?
The information related to the Christopher John Eitzen, including its address, specialty, and other relevant details, was last updated on 2007-07-08.
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