Beach Dental is a Point Of Service in Anaheim, California. Beach Dental practices all healthcare services and medical treatments related to Point Of Service. The NPI Number for Beach Dental is 1518114776. The last update date is 2008-08-19.
Beach Dental's current location address is 2940 W Lincoln Ave, Anaheim, California. You can contact this provider via phone number 7149954000 and fax number 7149959022. The mailing address for Beach Dental is 2940 W Lincoln Ave, Anaheim, California. To know further, please read the information below!
Provider Profile Detail
| Provider Organization | Beach Dental |
|---|---|
| Address | 2940 W Lincoln Ave, Anaheim, California |
| Phone Number | 7149954000 |
| Fax Number | 7149959022 |
| Sole Proprietor | -- |
| Credentials | -- |
Authorized Official
| Title or Position | DENTIST |
|---|---|
| Authorized Official Name | Vatankhahan Omid |
| Credentials | DDS |
| Telephone Number | 1714995400 |
NPI Number Detail
| NPI Number | 1518114776 |
|---|---|
| Provider Enumeration Date | 2008-08-19 |
| Last Updated Date | 2008-08-19 |
Provider Mailing Address Detail
| Address | 2940 W Lincoln Ave |
|---|---|
| City | Anaheim |
| State | California (CA) |
| Post Code | 928016294 |
| Phone Number | 7149954000 |
| Fax Number | 7149959022 |
Provider's Primary Taxonomy Detail
| Speciality | Point Of Service |
|---|---|
| Taxonomy | 305S00000X |
| Licence No | 49259 |
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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. |
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What is the unique identification code assigned to Beach Dental by the Centers for Medicare & Medicaid Services?
The Beach Dental has been issued the NPI (National Provider Identifier) 1518114776. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Beach Dental's physical address?
The Beach Dental is physically located at 2940 W Lincoln Ave, in the city of Anaheim, CA, with the postal code 928016294.
What is Beach Dental's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Beach Dental is Point Of Service, and the taxonomy code that classifies this field of practice is 305S00000X.
On what date was the 1518114776 assigned to Beach Dental?
The Beach Dental was issued its 1518114776 on 2008-08-19, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
As of what date were the Beach Dental's details last updated?
The information pertaining to the Beach Dental, including its address, specialty, and other details, was most recently updated on 2008-08-19.
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