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SANTEE COTTONWOOD DENTALC.S.NICHOLSONIII.D.D.SINC. NPI 1861632630


NPI Information

NPI: 1861632630
Provider Name: SANTEE COTTONWOOD DENTAL,C.S.NICHOLSON,III.D.D.S,INC.
Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
9715 MISSION GORGE RD
SANTEE, CA
ZIP 92071
Phone: (619) 448-7444
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SANTEE COTTONWOOD DENTAL,C.S.NICHOLSON,III.D.D.S,INC. is an oral and maxillofacial surgery dentist in Santee, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SANTEE COTTONWOOD DENTAL,C.S.NICHOLSON,III.D.D.S,INC. NPI is 1861632630. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

9715 MISSION GORGE RD
SANTEE, CA
ZIP 92071-809
Phone: (619) 448-7444
Fax: (619) 448-7147

The provider's authorized official is Rohshana Plunkett .
The authorized official title is Manager and has the following contact phone number (619) 448-7444.

The enumeration date for this NPI number is 3/5/2009 and was last updated on 3/5/2009.


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
11223S0112XDentistOral and Maxillofacial Surgery20425CALIFORNIAYes

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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