RICHARD C. EVANGELISTA D.D.S. INC. NPI 1386172450

NPI Information

NPI: 1386172450
Provider Name: RICHARD C. EVANGELISTA D.D.S., INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
6111 JOHNSON CT STE 201
PLEASANTON, CA
ZIP 94588
Phone: (925) 924-9900
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RICHARD C. EVANGELISTA D.D.S., INC. is a dental clinic center in Pleasanton, CA. RICHARD C. EVANGELISTA D.D.S., INC. NPI is 1386172450. The provider is registered as an organization entity type.

The provider's business location address is:

6111 JOHNSON CT STE 201
PLEASANTON, CA
ZIP 94588-331
Phone: (925) 924-9900

The provider's authorized official is Richard Evangelista .
The authorized official title is President and has the following contact phone number (925) 789-0575.

The enumeration date for this NPI number is 6/1/2017 and was last updated on 6/1/2017.

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
1	261QD0000X	Clinic/Center	Dental	47258	CALIFORNIA	Yes

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

NPI Synchronization or Removal

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