Douglas Durand Baum in Roseville - Orthodontics And Dentofacial Orthopedics
Douglas Durand Baum - NPI 1821211715
Douglas Durand Baum is a Orthodontics And Dentofacial Orthopedics in Roseville, California. Douglas Durand Baum practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Douglas Durand Baum is 1821211715. The last update date is 2007-07-08.
Douglas Durand Baum's current location address is 1258 Coloma Way, Roseville, California. You can contact this provider via phone number 9167841144. The mailing address for Douglas Durand Baum is 1258 Coloma Way, Roseville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Douglas Durand Baum |
|---|---|
| Address | 1258 Coloma Way, Roseville, California |
| Phone Number | 9167841144 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS, MSD |
NPI Number Detail
| NPI Number | 1821211715 |
|---|---|
| Provider Enumeration Date | 2007-04-10 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1258 Coloma Way |
|---|---|
| City | Roseville |
| State | California (CA) |
| Post Code | 95661 |
| Phone Number | 9167841144 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | 48429 |
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Definition: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their rel |
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What is the unique 10-digit identification code assigned to Douglas Durand Baum by the Centers for Medicare & Medicaid Services?
The Douglas Durand Baum has been issued the NPI (National Provider Identifier) 1821211715, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of Douglas Durand Baum?
The Douglas Durand Baum is physically situated at 1258 Coloma Way, in the city of Roseville, state of CA, with the postal code 95661.
What is the Douglas Durand Baum's specialty and taxonomy code?
The Douglas Durand Baum's specialty is Orthodontics And Dentofacial Orthopedics, and the corresponding taxonomy code is 1223X0400X.
On what date did the Centers for Medicare & Medicaid Services assign the 1821211715 to Douglas Durand Baum?
The Centers for Medicare & Medicaid Services assigned the 1821211715 to Douglas Durand Baum on 2007-04-10.
When was the Douglas Durand Baum's information last updated?
The Douglas Durand Baum's information was last updated on 2007-07-08.
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