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ADRIAN D. FENDERSON DDS INC. NPI 1710189469


NPI Information

NPI: 1710189469
Provider Name: ADRIAN D. FENDERSON, DDS, INC.
Classification: Clinic/Center - 261QD0000X
Entity Type: Organization

Specialization: Dental

Address:
3416 VALLE VERDE DR
NAPA, CA
ZIP 94558
Phone: (707) 258-8700
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ADRIAN D. FENDERSON, DDS, INC. is a dental clinic center in Napa, CA. ADRIAN D. FENDERSON, DDS, INC. NPI is 1710189469. The provider is registered as an organization entity type.

The provider's business location address is:

3416 VALLE VERDE DR
NAPA, CA
ZIP 94558-415
Phone: (707) 258-8700
Fax: (707) 255-4542

The provider's authorized official is Adrian Darvin Fenderson .
The authorized official title is President and has the following contact phone number (707) 258-8700.

The enumeration date for this NPI number is 6/4/2007 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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1261QD0000XClinic/CenterDental20852CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11306854377OTHERCALIFORNIANPI
220852OTHERCALIFORNIACDA LICENSE

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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