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INNOVATIVE DENTAL CARE NPI 1427499680


NPI Information

NPI: 1427499680
Provider Name: INNOVATIVE DENTAL CARE
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
1600 WEBSTER ST # C
SAN FRANCISCO, CA
ZIP 94115
Phone: (415) 500-2116
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INNOVATIVE DENTAL CARE is a general practice dentist in San Francisco, 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. INNOVATIVE DENTAL CARE NPI is 1427499680. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1600 WEBSTER ST # C
SAN FRANCISCO, CA
ZIP 94115-276
Phone: (415) 500-2116
Fax: (415) 500-2316

The provider's authorized official is Alexander Vilderman .
The authorized official title is Dentist/owner and has the following contact phone number (415) 500-2116.

The enumeration date for this NPI number is 7/16/2013 and was last updated on 7/16/2013.


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 Practice40753CALIFORNIAYes

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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