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VALLARINE DENTAL CORPORATION NPI 1982709572


NPI Information

NPI: 1982709572
Provider Name: VALLARINE DENTAL CORPORATION

Doing Business As: FRESNO DENTAL SURGERY CENTER, A VALLARINE DENTAL PRACTICE

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
2828 FRESNO ST
SUITE 100
FRESNO, CA
ZIP 93721
Phone: (559) 263-9648
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VALLARINE DENTAL CORPORATION is an ambulatory surgical clinic center in Fresno, CA. VALLARINE DENTAL CORPORATION NPI is 1982709572. The provider is registered as an organization entity type.
The provider Is Doing Business As Fresno Dental Surgery Center, A Vallarine Dental Practice.

The provider's business location address is:

2828 FRESNO ST
SUITE 100
FRESNO, CA
ZIP 93721-327
Phone: (559) 263-9648
Fax: (559) 263-9777

The provider's authorized official is Alan J Vallarine .
The authorized official title is President and has the following contact phone number (209) 345-2486.

The enumeration date for this NPI number is 9/14/2006 and was last updated on 10/17/2013.


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
1261QA1903XClinic/CenterAmbulatory Surgical550000219CALIFORNIAYes

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
1SURO1770FMEDICAIDCALIFORNIA
2G9862301OTHERCALIFORNIAHEALTHY FAMILIES
3AS1770OTHERCALIFORNIABLUE CROSS
405C001770OTHERCALIFORNIACMS
5ZZZ019572MEDICAIDCALIFORNIA
6G9397701MEDICAIDCALIFORNIA

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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