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ASK KINZER SIMPSON AND RODA A PROFESSIONAL DENTAL CORP NPI 1992958755


NPI Information

NPI: 1992958755
Provider Name: ASK, KINZER, SIMPSON, AND RODA A PROFESSIONAL DENTAL CORP

Doing Business As: AMADOR DENTAL SPECIALTIES

Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
100 FRENCH BAR RD
SUITE 103
JACKSON, CA
ZIP 95642
Phone: (209) 223-3502
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ASK, KINZER, SIMPSON, AND RODA A PROFESSIONAL DENTAL CORP is a periodontics dentist in Jackson, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. ASK, KINZER, SIMPSON, AND RODA A PROFESSIONAL DENTAL CORP NPI is 1992958755. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Amador Dental Specialties.

The provider's business location address is:

100 FRENCH BAR RD
SUITE 103
JACKSON, CA
ZIP 95642-557
Phone: (209) 223-3502
Fax: (209) 223-3562

The provider's authorized official is Ronney Mihran Ask .
The authorized official title is Chief Financial Officer and has the following contact phone number (209) 223-2096.

The enumeration date for this NPI number is 10/24/2008 and was last updated on 10/24/2008.


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
11223P0300XDentistPeriodonticsB20858CALIFORNIAYes

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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