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DENTRUST P.C. NPI 1124763271


NPI Information

NPI: 1124763271
Provider Name: DENTRUST, P.C.

Doing Business As: DOCS DENTAL TRAVIS AFB

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
461 SKYMASTER CIR BLDG 648
TRAVIS AFB, CA
ZIP 94535
Phone: (707) 474-4599
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DENTRUST, P.C. is a general practice dentist in Travis Afb, 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. DENTRUST, P.C. NPI is 1124763271. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Docs Dental Travis Afb.

The provider's business location address is:

461 SKYMASTER CIR BLDG 648
TRAVIS AFB, CA
ZIP 94535-909
Phone: (707) 474-4599
Fax: (707) 402-6535

The provider's authorized official is Amanda Evans Lance .
The authorized official title is Credentialing Specialist and has the following contact phone number (910) 728-9767.

The enumeration date for this NPI number is 5/3/2022 and was last updated on 9/1/2022.


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
11223G0001XDentistGeneral PracticeYes

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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