| Dental Medicine Providers | |
|
100 S Ellsworth Ave Ste 809 San Mateo CA 94401-3939 | |
| (650) 343-4477 | |
| (650) 343-4412 |
| Full Name | Dental Medicine Providers |
|---|---|
| Speciality | Dentist |
| Location | 100 S Ellsworth Ave, San Mateo, California |
| Authorized Official Name and Position | Russell Shturman (PRACTICE MANAGER) |
| Authorized Official Contact | 6503434477 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Dental Medicine Providers 100 S Ellsworth Ave Ste 809 San Mateo CA 94401-3939 Ph: (650) 343-4477 | Dental Medicine Providers 100 S Ellsworth Ave Ste 809 San Mateo CA 94401-3939 Ph: (650) 343-4477 |
| NPI Number | 1093961807 |
|---|---|
| Provider Enumeration Date | 08/12/2008 |
| Last Update Date | 03/29/2017 |
| Medicare PECOS PAC ID | 2062602576 |
|---|---|
| Medicare Enrollment ID | O20100930012435 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1093961807 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 45646 (California) | Primary |
James Chen Orthodontics Professional Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 19 11th Ave, San Mateo, CA 94401 Phone: 650-570-4365 Fax: 650-570-4127 | |
Sonrisas Dental Health, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1740 Marco Polo Way, Suite 4, San Mateo, CA 94010 Phone: 650-727-3480 Fax: 650-727-3519 | |
Marina Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2996 S Norfolk St Ste E, San Mateo, CA 94403 Phone: 650-349-0111 Fax: 650-349-0133 | |
Titus Tang Dental Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 360 Hillsdale Mall, San Mateo, CA 94403 Phone: 650-850-8502 | |
Tavakolian Dds, Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 2041 Pioneer Ct Ste 100, San Mateo, CA 94403 Phone: 240-750-9239 | |
Glenn Belen, D.d.s. Elizabeth Vasco, D.d.s., A.p.c. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 135 N San Mateo Dr, San Mateo, CA 94401 Phone: 650-344-7500 Fax: 650-344-9019 |