DR. PATTY EHSAN DDS NPI 1700119161

NPI Information

NPI: 1700119161
Provider Name: DR. PATTY EHSAN, DDS
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

Address:
1050 NORTHGATE DR
SUITE 505
SAN RAFAEL, CA
ZIP 94903
Phone: (415) 367-5489
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DR. Patty Ehsan, DDS is a general practice dentist in San Rafael, 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. DR. Patty Ehsan, DDS NPI is 1700119161. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1050 NORTHGATE DR
SUITE 505
SAN RAFAEL, CA
ZIP 94903-526
Phone: (415) 367-5489

The enumeration date for this NPI number is 9/16/2009 and was last updated on 10/17/2012.

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	1223G0001X	Dentist	General Practice	42981	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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