CORTE MADERA FAMILY DENTISTRY INC. NPI 1194311811

Clinic/Center (Dental) in Corte Madera, CA

NPI 1194311811 Organization Clinic/Center Dental

About CORTE MADERA FAMILY DENTISTRY INC.

Corte Madera Family Dentistry Inc. is a provider established in Corte Madera, California specializing in clinic/center (dental) . The NPI number of Corte Madera Family Dentistry Inc. is 1194311811 and was assigned on December 2020. The practitioner's primary taxonomy code is 261QD0000X. The provider is registered as an organization and their NPI record was last updated one year ago. The authorized official of this NPI record is Dr. Cameron Thane Garrett Dds (Owner/employee)

NPI

1194311811

Provider NameCORTE MADERA FAMILY DENTISTRY INC.
Provider Location Address81 CASA BUENA DR STE 2 CORTE MADERA, CA 94925
Provider Mailing Address81 CASA BUENA DR STE 2 CORTE MADERA, CA 94925
NPI Entity TypeOrganization
Is Sole Proprietor?N/A
Is Organization Subpart?No
Enumeration Date12-16-2020
Last Update Date12-16-2020


Primary Taxonomy

Taxonomy Code261QD0000X
ClassificationClinic/Center
TypeAmbulatory Health Care Facilities
SpecializationDental

Business Address

CORTE MADERA FAMILY DENTISTRY INC.
81 CASA BUENA DR STE 2
CORTE MADERA, CA
ZIP 94925
Phone: (415) 924-4772

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Mailing Address

CORTE MADERA FAMILY DENTISTRY INC.
81 CASA BUENA DR STE 2
CORTE MADERA, CA
ZIP 94925
Phone: (415) 924-4772



Authorized Official

Authorized Official NameDR. CAMERON THANE GARRETT DDS
Authorized Official TitleOWNER/EMPLOYEE
Authorized Official Phone(415) 924-4772

NPI Footnotes

What is the National Provider Indentifier (NPI)?
The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address
The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address
The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code
The code describing the type of health care provider that is being assigned an NPI.
The entity type codes are:
1 = Person: individual human being who furnishes health care;
2 = Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?
Subparts are the components and separate physical locations of organization health care providers. Subpart examples include:
Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name
The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doing business as (d/b/ a) name;
4 = former legal business name; :
5 = other.

Provider Enumeration Date
The date the provider was assigned a unique identifier (assigned an NPI).

Last Update Date
The date that a NPI record was last updated or changed.

Primary Taxonomy Code
The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Authorized Official Name
The name of the person authorized to submit the NPI application or to officially change data for a health care provider.