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O. C. TEBROCK DDS INC. NPI 1528173218


NPI Information

NPI: 1528173218
Provider Name: O. C. TEBROCK DDS, INC.
Classification: Dentist - 1223P0700X
Entity Type: Organization

Specialization: Prosthodontics

Address:
595 BUCK AVE
ST. F
VACAVILLE, CA
ZIP 95688
Phone: (707) 447-4540
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O. C. TEBROCK DDS, INC. is a prosthodontics dentist in Vacaville, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. O. C. TEBROCK DDS, INC. NPI is 1528173218. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

595 BUCK AVE
ST. F
VACAVILLE, CA
ZIP 95688-642
Phone: (707) 447-4540
Fax: (707) 447-4540

The provider's authorized official is O C Tebrock .
The authorized official title is Owner and has the following contact phone number (707) 447-4540.

The enumeration date for this NPI number is 8/20/2006 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
11223P0700XDentistProsthodontics33858CALIFORNIAYes

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: 4/28/2024

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