MEDICARE: DAP HEALTH, INC.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	122300000X	Dentist
2	261QF0400X	Federally Qualified Health Center (FQHC)

General Provider Information

NPI Number	:	1093251910
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	DAP HEALTH, INC.

Provider Business Mailing Address
First Line	:	1695 N. SUNRISE WAY
Second Line	:
City	:	PALM SPRINGS
State	:	CA
Zip	:	92262
Country	:	US
Telephone Number	:	760-323-2118
Fax Number	:

Provider Business Practice Location Address
First Line	:	590 PALM CANYON DR.
Second Line	:	212
City	:	BORREGO SPRINGS
State	:	CA
Zip	:	92004-2369
Country	:	US
Telephone Number	:	760-767-5112
Fax Number	:	760-767-5613

Authorized Official
Title or Position	:	CHIEF ADMINISTRATIVE OFFICER
Name	:	JUDY STITH
Credential	:
Telephone Number	:	760-323-2118

Provider Enumeration Date	:	01/17/2017
Last Update Date	:	10/30/2023

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