Pacific Dental Group Of El Cajon in El Cajon - Dental
Pacific Dental Group Of El Cajon - NPI 1275726325
Pacific Dental Group Of El Cajon is a Dental in El Cajon, California. Pacific Dental Group Of El Cajon practices all healthcare services and medical treatments related to Dental. The NPI Number for Pacific Dental Group Of El Cajon is 1275726325. The last update date is 2007-08-22.
Pacific Dental Group Of El Cajon's current location address is 865 Jackman St, El Cajon, California. You can contact this provider via phone number 6194473100 and fax number 6194473107. The mailing address for Pacific Dental Group Of El Cajon is 865 Jackman St, El Cajon, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Dental Group Of El Cajon |
|---|---|
| Address | 865 Jackman St, El Cajon, California |
| Phone Number | 6194473100 |
| Fax Number | 6194473107 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | PRESIDENT |
|---|---|
| Authorized Official Name | Plamenac Djuro Jovan |
| Credentials | DDS |
| Telephone Number | 6194473100 |
NPI Number Detail
| NPI Number | 1275726325 |
|---|---|
| Provider Enumeration Date | 2007-08-22 |
| Last Updated Date | 2007-08-22 |
Provider Mailing Address Detail
| Address | 865 Jackman St |
|---|---|
| City | El Cajon |
| State | California (CA) |
| Post Code | 920203052 |
| Phone Number | 6194473100 |
| Fax Number | 6194473107 |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | 2611 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 26111 | CA | RENDERING |
Post Comment/ Review Below
What is the unique identification code assigned to Pacific Dental Group Of El Cajon by the Centers for Medicare & Medicaid Services?
The Pacific Dental Group Of El Cajon has been issued the NPI (National Provider Identifier) 1275726325. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Pacific Dental Group Of El Cajon's facilities are geographically located?
The facilities of Pacific Dental Group Of El Cajon are physically situated at the following location: 865 Jackman St, El Cajon, CA, 920203052.
What is Pacific Dental Group Of El Cajon's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Pacific Dental Group Of El Cajon is Dental, and the taxonomy classification code that categorizes this area of expertise is 261Qd0000X.
When did Pacific Dental Group Of El Cajon receive its 1275726325 assignment?
The Pacific Dental Group Of El Cajon was assigned its 1275726325 on 2007-08-22, which is the date when this unique identifier was issued to the organization.
When was the Pacific Dental Group Of El Cajon's information last updated?
The Pacific Dental Group Of El Cajon's information was last updated on 2007-08-22.
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