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UCSF SCHOOL OF DENTISTRY CLINIC NO. 1 NPI 1942869961


NPI Information

NPI: 1942869961
Provider Name: UCSF SCHOOL OF DENTISTRY CLINIC NO. 1

Doing Business As: UCSF PREDOCTORAL UNIVERSITY PROJECT

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
707 PARNASSUS AVE # D-2000
SAN FRANCISCO, CA
ZIP 94143
Phone: (415) 476-5747
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UCSF SCHOOL OF DENTISTRY CLINIC NO. 1 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. UCSF SCHOOL OF DENTISTRY CLINIC NO. 1 NPI is 1942869961. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Ucsf Predoctoral University Project.

The provider's business location address is:

707 PARNASSUS AVE # D-2000
SAN FRANCISCO, CA
ZIP 94143-210
Phone: (415) 476-5747
Fax: (415) 476-6110

The provider's authorized official is Michael Reddy .
The authorized official title is Dean, School Of Dentistry and has the following contact phone number (415) 476-1323.

The enumeration date for this NPI number is 6/12/2019 and was last updated on 11/5/2019.


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
11223E0200XDentistEndodonticsNo
21223G0001XDentistGeneral PracticeYes
31223S0112XDentistOral and Maxillofacial SurgeryNo

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
1U01002-01OTHERCALIFORNIADENTI-CAL UNIVERSITY PROJECT
21528151529OTHERCALIFORNIADENTI-CAL

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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