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R & M DENTAL MANAGEMENT CO NPI 1922132109


NPI Information

NPI: 1922132109
Provider Name: R & M DENTAL MANAGEMENT CO

Doing Business As: BIG BEAR DENTAL CENTER

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
42169-C BIG BEAR BLVD.
BIG BEAR LAKE, CA
ZIP 92315
Phone: (909) 866-1030
Get Directions

R & M DENTAL MANAGEMENT CO is a general practice dentist in Big Bear Lake, 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. R & M DENTAL MANAGEMENT CO NPI is 1922132109. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Big Bear Dental Center.

The provider's business location address is:

42169-C BIG BEAR BLVD.
BIG BEAR LAKE, CA
ZIP 92315
Phone: (909) 866-1030
Fax: (909) 866-9990

The provider's authorized official is Farhad Mazi .
The authorized official title is Dentist and has the following contact phone number (909) 866-1030.

The enumeration date for this NPI number is 3/16/2007 and was last updated on 6/27/2008.


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
11223G0001XDentistGeneral Practice48832CALIFORNIAYes

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
1G92354-02MEDICAIDCALIFORNIA

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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