Physician Compare National (NPI:1033127923)

HEALTHCARE PROVIDER: DAVID WILLIAM EPSTEIN DDS

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1033127923
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	3274786462
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20130122000454
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	EPSTEIN
	Individual professional last name
Provider First Name	DAVID
	Individual professional first name
Provider Middle Name	W
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.

Medical School Information
Medical School Name	UNIV OF THE PACIFIC DUGONI SCHOOL OF DENTISTRY
	Individual professional's medical school
Graduation Year	1997
	Individual professional's medical school graduation year
Primary Specialty	ORAL SURGERY
	Primary medical specialty reported by the individual professional in the selected enrollment
Secondary Specialty 1	MAXILLOFACIAL SURGERY
	First secondary medical specialty reported by the individual professional in the selected enrollment
All Secondary Specialties	MAXILLOFACIAL SURGERY
	All four secondary specialties reported by the individual professional in the selected enrollment, separated by commas

Practice Information
Line 1 Street Address	1701 NOVATO BLVD
	Group Practice or individual's line 1 address
Line 2 Street Address	SUITE 306
	Group Practice or individual's line 2 address
City	NOVATO
	Group Practice or individual's city
State	CA
	Group Practice or individual's state
Zip Code	949473030
	Group Practice or individual's zip code (9 digits when available)

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y