| Dale E. Stringer D.d.s., Inc. | |
|
6860 Brockton Avenue Suite 1 Riverside CA 92506-3812 | |
| (951) 787-0602 | |
| (951) 787-1830 |
| Full Name | Dale E. Stringer D.d.s., Inc. |
|---|---|
| Speciality | Dentist |
| Location | 6860 Brockton Avenue, Riverside, California |
| Authorized Official Name and Position | Dale Edward Stringer (OWNER) |
| Authorized Official Contact | 9517870602 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dale E. Stringer D.d.s., Inc. 6860 Brockton Avenue Suite 1 Riverside CA 92506-3821 Ph: (951) 787-0602 | Dale E. Stringer D.d.s., Inc. 6860 Brockton Avenue Suite 1 Riverside CA 92506-3812 Ph: (951) 787-0602 |
| NPI Number | 1558637918 |
|---|---|
| Provider Enumeration Date | 03/29/2012 |
| Last Update Date | 05/29/2012 |
| Medicare PECOS PAC ID | 8527215367 |
|---|---|
| Medicare Enrollment ID | O20120829000500 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1558637918 | NPI | - | NPPES |
| B2793001 | Medicaid | CA |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | (* (Not Available)) | Secondary |
| 1223S0112X | Dentist - Oral And Maxillofacial Surgery | D27930 (California) | Primary |
| Provider Name | Dale E Stringer |
|---|---|
| Provider Type | Practitioner - Maxillofacial Surgery |
| Provider Identifiers | NPI Number: 1861440836 PECOS PAC ID: 9234386079 Enrollment ID: I20120829000522 |
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