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Contact Information

TAHOE CITY DENTAL GROUP
140 MACKINAW ST
TAHOE CITY, CA96145
 Phone: 530-583-0278
 Fax: 530-583-8660
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Dentist

122300000X
Indicates primary specialty

NPI Profile & details for TAHOE CITY DENTAL GROUP

NPI Number 1043393739
LBN Legal business name TAHOE CITY DENTAL GROUP
Authorized official RICHARD TOMLINSON - (OWNER PARTNER DDS)
Entity Organization
Organization subpart 1 No
Enumeration date 10/24/2006
Last updated 08/22/2020 - About 6 years ago
Identifiers
CA License # 25458
CA License # 41219
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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