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EVAN R SANTIAGO DDS MSD INC NPI 1649044835


NPI Information

NPI: 1649044835
Provider Name: EVAN R SANTIAGO DDS MSD INC
Classification: Dentist - 1223P0300X
Entity Type: Organization

Specialization: Periodontics

Address:
6333 TELEGRAPH AVE
OAKLAND, CA
ZIP 94609
Phone: (510) 547-1300
Get Directions

EVAN R SANTIAGO DDS MSD INC is a periodontics dentist in Oakland, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. EVAN R SANTIAGO DDS MSD INC NPI is 1649044835. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

6333 TELEGRAPH AVE
OAKLAND, CA
ZIP 94609-359
Phone: (510) 547-1300

The provider's authorized official is Evan Santiago .
The authorized official title is Dr and has the following contact phone number (510) 547-1300.

The enumeration date for this NPI number is 11/8/2023 and was last updated on 11/8/2023.


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
11223P0300XDentistPeriodonticsYes

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: 5/5/2024

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