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ASK KINZER SIMPSON AND RODA A PROFESSIONA DENTAL CORP NPI 1124270137


NPI Information

NPI: 1124270137
Provider Name: ASK, KINZER, SIMPSON, AND RODA A PROFESSIONA DENTAL CORP

Doing Business As: JACKSON CREEK DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
100 FRENCH BAR RD
SUITE 101
JACKSON, CA
ZIP 95642
Phone: (209) 223-2712
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ASK, KINZER, SIMPSON, AND RODA A PROFESSIONA DENTAL CORP is a general practice dentist in Jackson, 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. ASK, KINZER, SIMPSON, AND RODA A PROFESSIONA DENTAL CORP NPI is 1124270137. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Jackson Creek Dental Group.

The provider's business location address is:

100 FRENCH BAR RD
SUITE 101
JACKSON, CA
ZIP 95642-557
Phone: (209) 223-2712
Fax: (209) 223-2719

The provider's authorized official is Ron Mihran Ask .
The authorized official title is Chief Financial Officer and has the following contact phone number (209) 223-2096.

The enumeration date for this NPI number is 10/21/2008 and was last updated on 2/18/2015.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice033946CALIFORNIANo
21223G0001XDentistGeneral Practice40117CALIFORNIANo
31223G0001XDentistGeneral Practice41781CALIFORNIANo
41223G0001XDentistGeneral Practice26949CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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