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WILLIAM G.LOW DDS A PROFESSIONAL DENTAL CORP NPI 1184818569


NPI Information

NPI: 1184818569
Provider Name: WILLIAM G.LOW DDS A PROFESSIONAL DENTAL CORP

Doing Business As: A PROFESSIONAL DENTAL CORP.

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1341 N EL DORADO ST
STOCKTON, CA
ZIP 95202
Phone: (209) 465-5747
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WILLIAM G.LOW DDS A PROFESSIONAL DENTAL CORP is a general practice dentist in Stockton, 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. WILLIAM G.LOW DDS A PROFESSIONAL DENTAL CORP NPI is 1184818569. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As A Professional Dental Corp..

The provider's business location address is:

1341 N EL DORADO ST
STOCKTON, CA
ZIP 95202-016
Phone: (209) 465-5747
Fax: (206) 465-3602

The provider's authorized official is Everett Leman Low .
The authorized official title is Secretary/treasurer and has the following contact phone number (209) 465-5747.

The enumeration date for this NPI number is 8/29/2007 and was last updated on 10/10/2019.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral PracticeYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
126885-01MEDICAIDCALIFORNIA

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: 5/5/2024

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