Kenneth K Takeda in Stockton - Orthodontics And Dentofacial Orthopedics
Kenneth K Takeda - NPI 1396805107
Kenneth K Takeda is a Orthodontics And Dentofacial Orthopedics in Stockton, California. Kenneth K Takeda practices all healthcare services and medical treatments related to Orthodontics And Dentofacial Orthopedics. The NPI Number for Kenneth K Takeda is 1396805107. The last update date is 2007-07-08.
Kenneth K Takeda's current location address is 532 W. Harding Way, Suite B, Stockton, California. You can contact this provider via phone number 2094662975. The mailing address for Kenneth K Takeda is 532 W. Harding Way, Suite B, Stockton, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Kenneth K Takeda |
|---|---|
| Address | 532 W. Harding Way, Suite B, Stockton, California |
| Phone Number | 2094662975 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | DDS |
NPI Number Detail
| NPI Number | 1396805107 |
|---|---|
| Provider Enumeration Date | 2006-12-11 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 532 W. Harding Way, Suite B |
|---|---|
| City | Stockton |
| State | California (CA) |
| Post Code | 952045611 |
| Phone Number | 2094662975 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Orthodontics And Dentofacial Orthopedics |
|---|---|
| Taxonomy | 1223X0400X |
| Licence No | D 18650 |
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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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Post Comment/ Review Below
What is the Kenneth K Takeda's 1396805107?
The Kenneth K Takeda's NPI (National Provider Identifier) Number is 1396805107. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you share the physical location details of Kenneth K Takeda?
The Kenneth K Takeda is situated at 532 W. Harding Way, Suite B, in the city of Stockton, state of CA, with the zip code 952045611.
What is Kenneth K Takeda's area of expertise and its corresponding taxonomy classification?
The Kenneth K Takeda's field of specialization is Orthodontics And Dentofacial Orthopedics, and it falls under the taxonomy code 1223X0400X, which categorizes healthcare providers based on their areas of practice.
On what date did Kenneth K Takeda receive its 1396805107 assignment from the Centers for Medicare & Medicaid Services?
The Kenneth K Takeda was assigned its 1396805107 on 2006-12-11, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Kenneth K Takeda's information last updated?
The Kenneth K Takeda's information was last updated on 2007-07-08.
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