GEORGE G SOLANZO DMD INC - NPI NUMBER 1073732566

Summary

Provider Name: GEORGE G SOLANZO DMD INC

NPI Number: 1073732566

Clasification: Dentist (1223G0001X)

Specialization: General Practice

Address:
2664 BERRYESSA RD STE 214
SAN JOSE, CA
ZIP 95132

Phone Number: (408) 272-1141



Detailed Information

GEORGE G SOLANZO DMD INC is a general practice dentist in San Jose, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. The assigned NPI number for this provider is 1073732566 and is registered as an organization entity type and is a single specialty group.

The provider's business address is:

2664 BERRYESSA RD STE 214
SAN JOSE, CA
ZIP 95132-907
Phone: (408) 272-1141
Fax: (408) 272-9039

The provider's authorized official is George Gorospe Solanzo .
The authorized official title is Ceo and has the following contact phone number (408) 272-1141.

The enumeration date for this NPI number is 4/24/2007 and was last updated on 7/8/2007.

Map - Location of Practice

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Taxonomy Codes

The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1 1223G0001X Dentist General Practice 40017 CA Yes

NPI Record

No. Field Name Field Value
1 NPI 1073732566
2 Entity Type Code 2
3 Employer Identification Number EIN
4 Provider Organization Name Legal Business Name GEORGE G SOLANZO DMD INC
5 Provider First Line Business Practice Location Address 2664 BERRYESSA RD STE 214
6 Provider Business Practice Location Address City Name SAN JOSE
7 Provider Business Practice Location Address State Name CA
8 Provider Business Practice Location Address Postal Code 951322907
9 Provider Business Practice Location Address Country Code If outside U S US
10 Provider Business Practice Location Address Telephone Number 4082721141
11 Provider Business Practice Location Address Fax Number 4082729039
12 Provider Enumeration Date 4/24/2007
13 Last Update Date 7/8/2007
14 Authorized Official Last Name SOLANZO
15 Authorized Official First Name GEORGE
16 Authorized Official Middle Name GOROSPE
17 Authorized Official Title or Position CEO
18 Authorized Official Telephone Number 4082721141
19 Healthcare Provider Taxonomy Code 1 1223G0001X
20 Provider License Number 1 40017
21 Provider License Number State Code 1 CA
22 Healthcare Provider Primary Taxonomy Switch 1 Y
23 Authorized Official Name Prefix Text DR.
24 Healthcare Provider Taxonomy Group 1 193400000X SINGLE SPECIALTY GROUP

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This page was last updated on: 10/12/2014
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