DR. KLAUS J RADTKE D.D.S. NPI 1265432454

NPI Information

NPI: 1265432454
Provider Name: DR. KLAUS J RADTKE, D.D.S.
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
1456 PROFESSIONAL DR
SUITE # 401
PETALUMA, CA
ZIP 94954
Phone: (415) 225-6675
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DR. Klaus J Radtke, D.D.S. is a general practice dentist in Petaluma, 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. DR. Klaus J Radtke, D.D.S. NPI is 1265432454. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

1456 PROFESSIONAL DR
SUITE # 401
PETALUMA, CA
ZIP 94954-639
Phone: (415) 225-6675

The NPI 1265432454 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS).

The enumeration date for this NPI number is 7/28/2005 and was last updated on 11/16/2011.

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
1	1223G0001X	Dentist	General Practice	45761	CALIFORNIA	No
2	1223G0001X	Dentist	General Practice	26256	TEXAS	Yes

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

NPI Synchronization or Removal

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