Byron P Sansom A Dental Corporation in Mammoth Lakes - Rural

Byron P Sansom A Dental Corporation - NPI 1558374132

Byron P Sansom A Dental Corporation is a Rural in Mammoth Lakes, California. Byron P Sansom A Dental Corporation practices all healthcare services and medical treatments related to Rural. The NPI Number for Byron P Sansom A Dental Corporation is 1558374132. The last update date is 2013-11-05.

Byron P Sansom A Dental Corporation's current location address is Po Box 100, Mammoth Lakes, California. You can contact this provider via phone number 7609343730 and fax number 7609343732. The mailing address for Byron P Sansom A Dental Corporation is Po Box 100, Mammoth Lakes, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Byron P Sansom A Dental Corporation
Address Po Box 100, Mammoth Lakes, California
Phone Number 7609343730
Fax Number 7609343732
Sole Proprietor --
Credentials --

Authorized Official

Title or Position OWNER/DENT
Authorized Official Name Sansom Paul Byron
Credentials D.D.S.
Telephone Number 7609343730

NPI Number Detail

NPI Number 1558374132
Provider Enumeration Date 2006-08-14
Last Updated Date 2013-11-05

Provider Mailing Address Detail

Address Po Box 100
City Mammoth Lakes
State California (CA)
Post Code 935460100
Phone Number 7609343730
Fax Number 7609343732

Provider's Primary Taxonomy Detail

Speciality Rural
Taxonomy 282Nr1301X
Licence No 33366
Definition:
Provides comprehensive inpatient medical and surgical care in rural areas.

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FAQs about Byron P Sansom A Dental Corporation

What is the unique 10-digit identification code assigned to Byron P Sansom A Dental Corporation by the Centers for Medicare & Medicaid Services?

The Byron P Sansom A Dental Corporation has been issued the NPI (National Provider Identifier) 1558374132, which 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 Byron P Sansom A Dental Corporation's facilities are geographically located?

The facilities of Byron P Sansom A Dental Corporation are physically situated at the following location: Po Box 100, Mammoth Lakes, CA, 935460100.

What is the area of specialization for Byron P Sansom A Dental Corporation, and what is the corresponding taxonomy classification code for this field?

The specialized field of practice for Byron P Sansom A Dental Corporation is Rural, and the corresponding taxonomy code that categorizes this area of expertise is 282Nr1301X.

On what date did Byron P Sansom A Dental Corporation receive its 1558374132 assignment from the Centers for Medicare & Medicaid Services?

The Byron P Sansom A Dental Corporation was assigned its 1558374132 on 2006-08-14, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

When was the information pertaining to Byron P Sansom A Dental Corporation most recently updated or revised?

The details related to Byron P Sansom A Dental Corporation, including its address, specialty, and other relevant information, were last updated or revised on 2013-11-05.

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