Marina Dental in Oxnard - Exclusive Provider Organization
Marina Dental - NPI 1265573505
Marina Dental is a Exclusive Provider Organization in Oxnard, California. Marina Dental practices all healthcare services and medical treatments related to Exclusive Provider Organization. The NPI Number for Marina Dental is 1265573505. The last update date is 2020-08-22.
Marina Dental's current location address is 3611 W 5th St, Oxnard, California. You can contact this provider via phone number 8059851800 and fax number 8059840598. The mailing address for Marina Dental is 3611 W 5th St, Oxnard, California. To know further, please read the information below!
Provider Profile Detail
Provider Organization | Marina Dental |
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Address | 3611 W 5th St, Oxnard, California |
Phone Number | 8059851800 |
Fax Number | 8059840598 |
Sole Proprietor | -- |
Credentials | -- |
Authorized Official
Title or Position | OWNER |
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Authorized Official Name | Johnson Alan Keith |
Credentials | D.D.S. |
Telephone Number | 8059851800 |
NPI Number Detail
NPI Number | 1265573505 |
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Provider Enumeration Date | 2007-02-09 |
Last Updated Date | 2020-08-22 |
Provider Mailing Address Detail
Address | 3611 W 5th St |
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City | Oxnard |
State | California (CA) |
Post Code | 930306436 |
Phone Number | 8059851800 |
Fax Number | 8059840598 |
Provider's Primary Taxonomy Detail
Speciality | Exclusive Provider Organization |
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Taxonomy | 302F00000X |
Licence No | 37429 |
Definition: (1) An EPO is a form of PPO, in which patients must visit a caregiver that is specified on its panel of providers (is a participating provider). If a visit to an outside(not participating) provider is made the EPO offers very limited or no coverage f |
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What is the unique 10-digit identification code assigned to Marina Dental by the Centers for Medicare & Medicaid Services?
The Marina Dental has been issued the NPI (National Provider Identifier) 1265573505, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Marina Dental's physical address?
The Marina Dental is physically located at 3611 W 5Th St, in the city of Oxnard, CA, with the postal code 930306436.
What is Marina Dental's area of expertise and its corresponding taxonomy classification?
The Marina Dental's field of specialization is Exclusive Provider Organization, and it falls under the taxonomy code 302F00000X, which categorizes healthcare providers based on their areas of practice.
On what date did Marina Dental receive its 1265573505 assignment from the Centers for Medicare & Medicaid Services?
The Marina Dental was assigned its 1265573505 on 2007-02-09, 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 Marina Dental most recently updated or revised?
The details related to Marina Dental, including its address, specialty, and other relevant information, were last updated or revised on 2020-08-22.