Parkside Dental Care in Fairfield - Periodontics
Parkside Dental Care - NPI 1720133796
Parkside Dental Care is a Periodontics in Fairfield, California. Parkside Dental Care practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Parkside Dental Care is 1720133796. The last update date is 2020-08-22.
Parkside Dental Care's current location address is 1325 Travis Blvd, Fairfield, California. You can contact this provider via phone number 7074272222 and fax number 7074270562. The mailing address for Parkside Dental Care is 1325 Travis Blvd, Fairfield, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Parkside Dental Care |
|---|---|
| Address | 1325 Travis Blvd, Fairfield, California |
| Phone Number | 7074272222 |
| Fax Number | 7074270562 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | INSURANCE |
|---|---|
| Authorized Official Name | Altman May Avril |
| Telephone Number | 7074272222 |
NPI Number Detail
| NPI Number | 1720133796 |
|---|---|
| Provider Enumeration Date | 2007-01-23 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 1325 Travis Blvd |
|---|---|
| City | Fairfield |
| State | California (CA) |
| Post Code | 945334611 |
| Phone Number | 7074272222 |
| Fax Number | 7074270562 |
Provider's Primary Taxonomy Detail
| Speciality | Periodontics |
|---|---|
| Taxonomy | 1223P0300X |
| Licence No | 49443 |
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Definition: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structure |
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What is the unique identifier code issued to Parkside Dental Care by the Centers for Medicare & Medicaid Services?
The Parkside Dental Care has been assigned the NPI (National Provider Identifier) 1720133796. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Parkside Dental Care is physically located?
The Parkside Dental Care is situated at the following address: 1325 Travis Blvd, Fairfield, CA 945334611.
What is the Parkside Dental Care's area of specialization and corresponding taxonomy classification?
The Parkside Dental Care's specialty field is Periodontics, and it falls under the taxonomy code 1223P0300X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1720133796 to Parkside Dental Care?
The Centers for Medicare & Medicaid Services assigned the 1720133796 to Parkside Dental Care on 2007-01-23.
When was the Parkside Dental Care's information last updated?
The Parkside Dental Care's information was last updated on 2020-08-22.
NPI Number: 1720081763
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