Mencita Dabu Masangkay Dmd Inc. in Hercules - Point Of Service

Mencita Dabu Masangkay Dmd Inc. - NPI 1023207149

Mencita Dabu Masangkay Dmd Inc. is a Point Of Service in Hercules, California. Mencita Dabu Masangkay Dmd Inc. practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Mencita Dabu Masangkay Dmd Inc. is 1023207149. The last update date is 2007-10-16.

Mencita Dabu Masangkay Dmd Inc.'s current location address is 500 Alfred Nobel Dr Ste 145, Hercules, California. You can contact this provider via phone number 5107417788 and fax number 5197417705. The mailing address for Mencita Dabu Masangkay Dmd Inc. is 500 Alfred Nobel Dr Ste 145, Hercules, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Mencita Dabu Masangkay Dmd Inc.
Address 500 Alfred Nobel Dr Ste 145, Hercules, California
Phone Number 5107417788
Fax Number 5197417705
Sole Proprietor --
Credentials --

Authorized Official

Title or Position DENT/OWNER
Authorized Official Name Masangkay Dabu Mencita
Credentials DMD
Telephone Number 5107417788

NPI Number Detail

NPI Number 1023207149
Provider Enumeration Date 2007-10-16
Last Updated Date 2007-10-16

Provider Mailing Address Detail

Address 500 Alfred Nobel Dr Ste 145
City Hercules
State California (CA)
Post Code 945471839
Phone Number 5107417788
Fax Number 5197417705

Provider's Primary Taxonomy Detail

Speciality Point Of Service
Taxonomy 305S00000X
Licence No 44028
Definition:
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
G93406-01 CA DENTICAL PROVIDER ID
522631 CA DENTICAL PIN

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FAQs about Mencita Dabu Masangkay Dmd Inc.

What is the unique identification code assigned to Mencita Dabu Masangkay Dmd Inc. by the Centers for Medicare & Medicaid Services?

The Mencita Dabu Masangkay Dmd Inc. has been issued the NPI (National Provider Identifier) 1023207149. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).

Could you share the physical location details of Mencita Dabu Masangkay Dmd Inc.?

The Mencita Dabu Masangkay Dmd Inc. is situated at 500 Alfred Nobel Dr Ste 145, in the city of Hercules, state of CA, with the zip code 945471839.

What is Mencita Dabu Masangkay Dmd Inc.'s specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?

The area of specialization for Mencita Dabu Masangkay Dmd Inc. is Point Of Service, and the taxonomy code that classifies this field of practice is 305S00000X.

On what date did the Centers for Medicare & Medicaid Services issue the 1023207149 to Mencita Dabu Masangkay Dmd Inc.?

The Mencita Dabu Masangkay Dmd Inc. received its 1023207149 assignment from the Centers for Medicare & Medicaid Services on 2007-10-16.

As of what date were the details pertaining to Mencita Dabu Masangkay Dmd Inc. last refreshed?

The information related to the Mencita Dabu Masangkay Dmd Inc., including its address, specialty, and other relevant details, was last updated on 2007-10-16.

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