Robert S Julian Dds Md Inc | |
290 N Wayte Ln Fresno CA 93701-2124 | |
(559) 459-4101 | |
(559) 459-5744 |
Full Name | Robert S Julian Dds Md Inc |
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Speciality | Oral & Maxillofacial Surgery |
Location | 290 N Wayte Ln, Fresno, California |
Authorized Official Name and Position | Robert S Julian (PRESIDENT/OWNER) |
Authorized Official Contact | 5594594101 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Robert S Julian Dds Md Inc 290 N Wayte Ln Fresno CA 93701-2124 Ph: (559) 459-4101 | Robert S Julian Dds Md Inc 290 N Wayte Ln Fresno CA 93701-2124 Ph: (559) 459-4101 |
NPI Number | 1043403207 |
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Provider Enumeration Date | 08/21/2007 |
Last Update Date | 03/07/2023 |
Medicare PECOS PAC ID | 6800062506 |
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Medicare Enrollment ID | O20111230000180 |
Identifier | Type | State | Issuer |
---|---|---|---|
1043403207 | NPI | - | NPPES |
1043403207 | Other | CA | MEDICARE - BILLING PROV |
1427119791 | Other | CA | MEDICARE - RENDERING/INDIVIDUAL PROV |
36161 | Medicaid | CA | |
63994 | Medicaid | CA | |
36161 | Other | CA | DENTAL LICENSE |
B36161 | Other | CA | DENTI-CAL TX PROV |
GA 1120 | Other | CA | GENERAL ANESTHESIA LIC |
A063994 | Other | CA | MEDICAL LICENSE |
B36161-01 | Other | CA | DENTI-CAL BILLING PROV. |
$$$$$$$$$ | Other | CA | SOCIAL SECURITY NUMBER |
Provider Name | Robert S Julian |
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Provider Type | Practitioner - Oral Surgery |
Provider Identifiers | NPI Number: 1427119791 PECOS PAC ID: 9234305939 Enrollment ID: I20120103000111 |
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