| Prewitt Dental Group Inc | |
|
1615 7th St Sanger CA 93657-2801 | |
| (559) 875-3927 | |
| Not Available |
| Full Name | Prewitt Dental Group Inc |
|---|---|
| Speciality | Dentist |
| Location | 1615 7th St, Sanger, California |
| Authorized Official Name and Position | Timothy Edward Prewitt (DIRECTOR) |
| Authorized Official Contact | 5598753927 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Prewitt Dental Group Inc 1615 7th St Sanger CA 93657-2801 Ph: (559) 875-3927 | Prewitt Dental Group Inc 1615 7th St Sanger CA 93657-2801 Ph: (559) 875-3927 |
| NPI Number | 1386156743 |
|---|---|
| Provider Enumeration Date | 10/25/2017 |
| Last Update Date | 10/25/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386156743 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 122300000X | Dentist | 52566 (California) | Primary |
| 122300000X | Dentist | 101941 (California) | Secondary |
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