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MACT HEALTH BOARD INC. NPI 1417505918


NPI Information

NPI: 1417505918
Provider Name: MACT HEALTH BOARD, INC.
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
52 S MAIN STREET, SUITE B
ANGELS CAMP, CA
ZIP 95222
Phone: (209) 754-6262
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MACT HEALTH BOARD, INC. is a general practice dentist in Angels Camp, 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. MACT HEALTH BOARD, INC. NPI is 1417505918. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

52 S MAIN STREET, SUITE B
ANGELS CAMP, CA
ZIP 95222
Phone: (209) 754-6262

The provider's authorized official is John Shawver Alexander .
The authorized official title is Executive Director and has the following contact phone number (209) 754-6258.

The enumeration date for this NPI number is 8/28/2019 and was last updated on 8/28/2019.


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 PracticeYes

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
11366519431OTHERCALIFORNIAFQHC

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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