COMMUNITY DENTAL SURGERY CENTER NPI 1427223544

NPI Information

NPI: 1427223544
Provider Name: COMMUNITY DENTAL SURGERY CENTER
Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1523 E MARCH LN
SUITE 100
STOCKTON, CA
ZIP 95310
Phone: (209) 602-0212
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COMMUNITY DENTAL SURGERY CENTER is an ambulatory surgical clinic center in Stockton, CA. COMMUNITY DENTAL SURGERY CENTER NPI is 1427223544. The provider is registered as an organization entity type.

The provider's business location address is:

1523 E MARCH LN
SUITE 100
STOCKTON, CA
ZIP 95310-600
Phone: (209) 602-0212

The provider's authorized official is Marcus S. Kasprzyk .
The authorized official title is Administrator and has the following contact phone number (209) 602-0212.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 4/29/2008.

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	261QA1903X	Clinic/Center	Ambulatory Surgical	G58822	CALIFORNIA	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: 5/5/2024

NPI Synchronization or Removal

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