Provider Type Icon

CHASE KOTULA DENTAL PARTNERSHIP NPI 1154669190


NPI Information

NPI: 1154669190
Provider Name: CHASE KOTULA DENTAL PARTNERSHIP

Doing Business As: MARIN DENTAL CARE

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4050 REDWOOD HWY
SUITE A
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 499-7700
Get Directions

CHASE KOTULA DENTAL PARTNERSHIP is a general practice dentist in San Rafael, 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. CHASE KOTULA DENTAL PARTNERSHIP NPI is 1154669190. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Marin Dental Care.

The provider's business location address is:

4050 REDWOOD HWY
SUITE A
SAN RAFAEL, CA
ZIP 94903-149
Phone: (415) 499-7700

The provider's authorized official is Jacqueline Margaret Kotula .
The authorized official title is Doctor and has the following contact phone number (415) 265-4115.

The enumeration date for this NPI number is 1/25/2013 and was last updated on 1/25/2013.


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
11223G0001XDentistGeneral Practice59323CALIFORNIANo
21223G0001XDentistGeneral Practice37319CALIFORNIAYes

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: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.