Pacific Dental Clinic in Anaheim - Preferred Provider Organization
Pacific Dental Clinic - NPI 1750575403
Pacific Dental Clinic is a Preferred Provider Organization in Anaheim, California. Pacific Dental Clinic practices all healthcare services and medical treatments related to Preferred Provider Organization. The NPI Number for Pacific Dental Clinic is 1750575403. The last update date is 2007-09-05.
Pacific Dental Clinic's current location address is 1201 N Euclid St, Anaheim, California. You can contact this provider via phone number 7148178345 and fax number 7142247688. The mailing address for Pacific Dental Clinic is 1201 N Euclid St, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Pacific Dental Clinic |
|---|---|
| Address | 1201 N Euclid St, Anaheim, California |
| Phone Number | 7148178345 |
| Fax Number | 7142247688 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Geronimo Luis Jorge |
| Credentials | DDS |
| Telephone Number | 7148178345 |
NPI Number Detail
| NPI Number | 1750575403 |
|---|---|
| Provider Enumeration Date | 2007-09-05 |
| Last Updated Date | 2007-09-05 |
Provider Mailing Address Detail
| Address | 1201 N Euclid St |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928011954 |
| Phone Number | 7148178345 |
| Fax Number | 7142247688 |
Provider's Primary Taxonomy Detail
| Speciality | Preferred Provider Organization |
|---|---|
| Taxonomy | 305R00000X |
| Licence No | 47897 |
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Definition: A group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient rec |
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Post Comment/ Review Below
What is the unique 10-digit identification code issued to Pacific Dental Clinic by the Centers for Medicare & Medicaid Services?
The Pacific Dental Clinic has been assigned the NPI (National Provider Identifier) 1750575403 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical address where Pacific Dental Clinic is geographically located?
The Pacific Dental Clinic is physically situated at the following location: 1201 N Euclid St, Anaheim, CA, 928011954.
What is Pacific Dental Clinic's area of expertise and its corresponding taxonomy classification?
The Pacific Dental Clinic's field of specialization is Preferred Provider Organization, and it falls under the taxonomy code 305R00000X, which categorizes healthcare providers based on their areas of practice.
When did Pacific Dental Clinic receive its 1750575403 assignment?
The Pacific Dental Clinic was assigned its 1750575403 on 2007-09-05, which is the date when this unique identifier was issued to the organization.
As of what date were the details related to Pacific Dental Clinic most recently updated or revised?
The information pertaining to Pacific Dental Clinic, including its address, specialty, and other relevant details, was last updated or revised on 2007-09-05.
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