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UCSF SFGH MAXILLO FACIAL SURGERY CL. #20-4 NPI 1730268657


NPI Information

NPI: 1730268657
Provider Name: UCSF SFGH MAXILLO FACIAL SURGERY CL. #20-4

Other Name: UCSF SFGH MAXILLOFACIAL SURGERY

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
1001 POTRERO AVE
ROOM 1N1
SAN FRANCISCO, CA
ZIP 94110
Phone: (415) 206-6128
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UCSF SFGH MAXILLO FACIAL SURGERY CL. #20-4 is an oral and maxillofacial surgery dentist in San Francisco, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. UCSF SFGH MAXILLO FACIAL SURGERY CL. #20-4 NPI is 1730268657. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Other Name Is Ucsf Sfgh Maxillofacial Surgery.

The provider's business location address is:

1001 POTRERO AVE
ROOM 1N1
SAN FRANCISCO, CA
ZIP 94110-518
Phone: (415) 206-6128
Fax: (415) 502-0817

The provider's authorized official is John Featherstone .
The authorized official title is Interim Dean and has the following contact phone number (415) 476-8997.

The enumeration date for this NPI number is 11/2/2006 and was last updated on 7/7/2008.


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
1204E00000XOral & Maxillofacial SurgeryNo
21223S0112XDentistOral and Maxillofacial SurgeryYes

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 IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1GR0041991MEDICAIDCALIFORNIA

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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