NPI Code Details Logo

NPI 1649393604

NPI 1649393604 : NATHAN KAUFMAN D.D.S. : ALBANY, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1649393604
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    NATHAN KAUFMAN D.D.S.
-----------------------------------------------------
    Gender               |    Male 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    04/06/2007
-----------------------------------------------------
    Last Update Date     |    09/11/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    901 VENTURA AVE 
-----------------------------------------------------
    City                 |    ALBANY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94707-2122
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    510-526-1757
-----------------------------------------------------
    Fax                  |    510-526-3397
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    901 VENTURA AVE 
-----------------------------------------------------
    City                 |    ALBANY
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94707-2122
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    510-526-1757
-----------------------------------------------------
    Fax                  |    510-526-3397
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    122300000X
-----------------------------------------------------
    Taxonomy Name        |    Dentist
-----------------------------------------------------
    License Number       |    20885
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    1223P0700X
-----------------------------------------------------
    Taxonomy Name        |    Prosthodontics
-----------------------------------------------------
    License Number       |    20885
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

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