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ROBERT S JULIAN DDS MD INC NPI 1043403207


NPI Information

NPI: 1043403207
Provider Name: ROBERT S JULIAN DDS MD INC
Classification: Oral & Maxillofacial Surgery - 204E00000X
Entity Type: Organization
Address:
290 N WAYTE LN
FRESNO, CA
ZIP 93701
Phone: (559) 459-4101
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ROBERT S JULIAN DDS MD INC is an oral maxillofacial surgery in Fresno, CA. The provider is oral and maxillofacial surgeons are trained to recognize and treat a wide spectrum of diseases, injuries and defects in the head, neck, face, jaws and the hard and soft tissues of the oral and maxillofacial region. They are also trained to administer anesthesia, and provide care in an office setting. They are trained to treat problems such as the extraction of wisdom teeth, misaligned jaws, tumors and cysts of the jaw and mouth, and to perform dental implant surgery. ROBERT S JULIAN DDS MD INC NPI is 1043403207. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

290 N WAYTE LN
FRESNO, CA
ZIP 93701-124
Phone: (559) 459-4101
Fax: (559) 459-5744

The provider's authorized official is Robert S Julian .
The authorized official title is President/owner and has the following contact phone number (559) 459-4101.

The enumeration date for this NPI number is 8/21/2007 and was last updated on 3/7/2023.


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
1122300000XDentist36161CALIFORNIANo
21223P0106XDentistOral and Maxillofacial Pathology36161CALIFORNIANo
31223S0112XDentistOral and Maxillofacial Surgery36161CALIFORNIANo
4204E00000XOral & Maxillofacial SurgeryA063394CALIFORNIANo
52086S0122XSurgeryPlastic and Reconstructive SurgeryA063994CALIFORNIANo
62086S0127XSurgeryTrauma SurgeryA063994CALIFORNIANo
7204E00000XOral & Maxillofacial SurgeryA63994CALIFORNIAYes

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
11043403207OTHERCALIFORNIAMEDICARE - BILLING PROV
21427119791OTHERCALIFORNIAMEDICARE - RENDERING/INDIVIDUAL PROV
336161MEDICAIDCALIFORNIA
463994MEDICAIDCALIFORNIA
536161OTHERCALIFORNIADENTAL LICENSE
6B36161OTHERCALIFORNIADENTI-CAL TX PROV
7GA 1120OTHERCALIFORNIAGENERAL ANESTHESIA LIC
8A063994OTHERCALIFORNIAMEDICAL LICENSE
9B36161-01OTHERCALIFORNIADENTI-CAL BILLING PROV.
10$$$$$$$$$OTHERCALIFORNIASOCIAL SECURITY NUMBER

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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