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RIVER OAK DENTAL SPA DENTAL OFFICE OF TOURTLOTTE DENTAL CORPORATION NPI 1245342542


NPI Information

NPI: 1245342542
Provider Name: RIVER OAK DENTAL SPA DENTAL OFFICE OF TOURTLOTTE DENTAL CORPORATION
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

CLIA Number: 05D2245201

Address:
1473 EAST G ST
STE C
OAKDALE, CA
ZIP 95361
Phone: (209) 848-8074
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RIVER OAK DENTAL SPA DENTAL OFFICE OF TOURTLOTTE DENTAL CORPORATION is a general practice dentist in Oakdale, 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. RIVER OAK DENTAL SPA DENTAL OFFICE OF TOURTLOTTE DENTAL CORPORATION NPI is 1245342542. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

1473 EAST G ST
STE C
OAKDALE, CA
ZIP 95361
Phone: (209) 848-8074

The provider's authorized official is Christina Louise Tourtlotte .
The authorized official title is President and has the following contact phone number (209) 848-8074.

The CLIA number assigned to this NPI record is 05D2245201 - other with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 8/31/2006 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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice40502CALIFORNIAYes

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

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