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General NPI Number Information
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NPI Number | 1376933622
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Entity Type | Organization
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Legal Business Name | CENTER FOR ORAL HEALTH
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Dates
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Enumeration Date | 01/26/2015
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Last Update Date | 03/24/2025
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Provider Practice Location Address
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Address Line | 9521 FOLSOM BLVD STE R12
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City | SACRAMENTO
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State | CA
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Zip | 95827-1203
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Country | US
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Telephone | 619-823-2699
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Fax |
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Provider Business Mailing Address
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Address Line | 9521 FOLSOM BLVD STE R
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City | SACRAMENTO
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State | CA
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Zip | 95827-1208
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Country | US
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Telephone | 310-943-7752
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Fax | 310-759-3523
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Authorized Official
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Title or Position | CHIEF EXECUTIVE OFFICER
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Name | TIFFANY TURNER
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Credential |
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Telephone | 310-943-7752
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 1223G0001X
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Taxonomy Name | General Practice Dentistry
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License Number |
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License Number State | FL
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Taxonomy #2
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Taxonomy Code | 1223S0112X
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Taxonomy Name | Oral and Maxillofacial Surgery (Dentist)
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 1223P0221X
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Taxonomy Name | Pediatric Dentistry
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License Number |
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License Number State |
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Taxonomy #4
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State |
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Taxonomy #5
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Taxonomy Code | 122300000X
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Taxonomy Name | Dentist
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License Number |
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License Number State | CA
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