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MCCORMACK DENTAL IMAGING NPI 1689045718


NPI Information

NPI: 1689045718
Provider Name: MCCORMACK DENTAL IMAGING
Classification: Dental Laboratory - 292200000X
Entity Type: Organization
Address:
1550 HOTEL CIR N
STE. 340
SAN DIEGO, CA
ZIP 92108
Phone: (619) 296-6132
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MCCORMACK DENTAL IMAGING is a dental laboratory in San Diego, CA. The provider is a commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays. MCCORMACK DENTAL IMAGING NPI is 1689045718. The provider is registered as an organization entity type.

The provider's business location address is:

1550 HOTEL CIR N
STE. 340
SAN DIEGO, CA
ZIP 92108-901
Phone: (619) 296-6132

The provider's authorized official is Jerome N. Peck .
The authorized official title is Ceo and has the following contact phone number (415) 421-1389.

The enumeration date for this NPI number is 10/15/2015 and was last updated on 10/15/2015.


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
1292200000XDental LaboratoryRHP00053519CALIFORNIAYes

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: 11/14/2023

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