NPI Code Details Logo

NPI 1528988193

NPI 1528988193 : ANYTIME DENTAL CARE : CORTE MADERA, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1528988193
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    ANYTIME DENTAL CARE 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    07/15/2026
-----------------------------------------------------
    Last Update Date     |    07/15/2026
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    101 NELLEN AVE 
-----------------------------------------------------
    City                 |    CORTE MADERA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94925-1148
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    415-718-0303
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    101 NELLEN AVE 
-----------------------------------------------------
    City                 |    CORTE MADERA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94925-1148
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    415-718-0303
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    CLINICAL DIRECTOR
-----------------------------------------------------
    Name                 |    DR. HSIU-CHAAI MIKE CHANG 
-----------------------------------------------------
    Credential           |    DDS
-----------------------------------------------------
    Telephone            |    510-772-6393
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    1223G0001X
-----------------------------------------------------
    Taxonomy Name        |    General Practice Dentistry
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.