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RONALD B. MEAD BRUCE L. WHITCHER & ERIC M. ALLTUCKER DDS NPI 1033250311


NPI Information

NPI: 1033250311
Provider Name: RONALD B. MEAD, BRUCE L. WHITCHER, & ERIC M. ALLTUCKER, DDS

Doing Business As: CENTRAL COAST ORAL & MAXILLOFACIAL SURGERY

Classification: Clinic/Center - 261QS0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
990 BOYSEN AVE
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 541-3220
Get Directions

RONALD B. MEAD, BRUCE L. WHITCHER, & ERIC M. ALLTUCKER, DDS is an oral and maxillofacial surgery clinic center in San Luis Obispo, CA. The provider is an oral and maxillofacial surgery clinic or center 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. RONALD B. MEAD, BRUCE L. WHITCHER, & ERIC M. ALLTUCKER, DDS NPI is 1033250311. The provider is registered as an organization entity type.
The provider Is Doing Business As Central Coast Oral & Maxillofacial Surgery.

The provider's business location address is:

990 BOYSEN AVE
SAN LUIS OBISPO, CA
ZIP 93405-313
Phone: (805) 541-3220
Fax: (805) 541-3704

The provider's authorized official is Ronald B. Mead .
The authorized official title is Oral Surgeon and has the following contact phone number (805) 541-3220.

The enumeration date for this NPI number is 2/9/2007 and was last updated on 8/22/2020.


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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QS0112XClinic/CenterOral and Maxillofacial SurgeryDB023450CALIFORNIANo
2261QS0112XClinic/CenterOral and Maxillofacial SurgeryDX030128CALIFORNIANo
3261QS0112XClinic/CenterOral and Maxillofacial SurgeryD46732CALIFORNIAYes

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: 5/5/2024

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