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MACK PALANK SHIH OLSEN & FOTOVATJAH NPI 1568597540


NPI Information

NPI: 1568597540
Provider Name: MACK PALANK SHIH OLSEN & FOTOVATJAH

Doing Business As: PENINSULA ENDODONTICS DENTAL GROUP

Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
825 OAK GROVE AVE
STE A102
MENLO PARK, CA
ZIP 94025
Phone: (650) 322-5381
Get Directions

MACK PALANK SHIH OLSEN & FOTOVATJAH is an endodontics dentist in Menlo Park, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. MACK PALANK SHIH OLSEN & FOTOVATJAH NPI is 1568597540. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Peninsula Endodontics Dental Group.

The provider's business location address is:

825 OAK GROVE AVE
STE A102
MENLO PARK, CA
ZIP 94025
Phone: (650) 322-5381
Fax: (650) 329-7946

The provider's authorized official is Michelle Claudette Olsen .
The authorized official title is Partner and has the following contact phone number (650) 322-5381.

The enumeration date for this NPI number is 2/22/2007 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
11223E0200XDentistEndodonticsYes

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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