Children'S Dental Initiative in San Jose - Dental
Children'S Dental Initiative - NPI 1790900215
Children'S Dental Initiative is a Dental in San Jose, California. Children'S Dental Initiative practices all healthcare services and medical treatments related to Dental. The NPI Number for Children'S Dental Initiative is 1790900215. The last update date is 2020-08-22.
Children'S Dental Initiative's current location address is 2085 Hamilton Ave, San Jose, California. You can contact this provider via phone number 4089619869. The mailing address for Children'S Dental Initiative is 2085 Hamilton Ave, San Jose, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Children'S Dental Initiative |
|---|---|
| Address | 2085 Hamilton Ave, San Jose, California |
| Phone Number | 4089619869 |
| Fax Number | |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | CHIEF FINA |
|---|---|
| Authorized Official Name | Holtzman Ira |
| Telephone Number | 4089619869 |
NPI Number Detail
| NPI Number | 1790900215 |
|---|---|
| Provider Enumeration Date | 2007-04-17 |
| Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
| Address | 2085 Hamilton Ave |
|---|---|
| City | San Jose |
| State | California (CA) |
| Post Code | 951256117 |
| Phone Number | 4089619869 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Dental |
|---|---|
| Taxonomy | 261Qd0000X |
| Licence No | G91493-01 |
|
Definition: Provides general and specialized dental care and oral surgery. |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| G91493-01 | CA | -- |
Post Comment/ Review Below
What is the unique identifier code issued to Children'S Dental Initiative by the Centers for Medicare & Medicaid Services?
The Children'S Dental Initiative has been assigned the NPI (National Provider Identifier) 1790900215. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you kindly provide the complete physical address where Children'S Dental Initiative's facilities are geographically located?
The facilities of Children'S Dental Initiative are physically situated at the following location: 2085 Hamilton Ave, San Jose, CA, 951256117.
What is Children'S Dental Initiative's area of specialization, and what is the corresponding taxonomy classification code for this field of practice?
The specialized area of practice for Children'S Dental Initiative is Dental, and the taxonomy code that categorizes this field of expertise is 261Qd0000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1790900215 to Children'S Dental Initiative?
The Centers for Medicare & Medicaid Services originally issued the 1790900215 to Children'S Dental Initiative on 2007-04-17.
When was the information related to Children'S Dental Initiative most recently updated or refreshed?
The details pertaining to the Children'S Dental Initiative, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.