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FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER NPI 1588794218


NPI Information

NPI: 1588794218
Provider Name: FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER

Doing Business As: COMMUNITY ORAL MAXILLOFACIAL OP SERVICE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
290 N WAYTE LN STE 2400
FRESNO, CA
ZIP 93701
Phone: (559) 459-5088
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FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER is a general practice dentist in Fresno, 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. FRESNO COMMUNITY HOSPITAL AND MEDICAL CENTER NPI is 1588794218. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Community Oral Maxillofacial Op Service.

The provider's business location address is:

290 N WAYTE LN STE 2400
FRESNO, CA
ZIP 93701-124
Phone: (559) 459-5088
Fax: (559) 459-6914

The provider's authorized official is Aaron Caldera .
The authorized official title is Director and has the following contact phone number (559) 724-4102.

The enumeration date for this NPI number is 3/6/2007 and was last updated on 12/11/2023.


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 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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1G90077-01OTHERCALIFORNIAMEDICAL

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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