BRENDA LICON
NPI 1386913838
Dentist - Oral and Maxillofacial Surgery in Tijuana, BC
- Organization
- Dentist
- Oral and Maxillofacial Surgery
About BRENDA LICON
This page provides the complete NPI Profile along with additional information for Brenda Licon, a provider established in Tijuana, operating as a Dentist, focusing in oral and maxillofacial surgery . The healthcare provider is registered in the NPI registry with number 1386913838 assigned on December 2011. The practitioner's primary taxonomy code is 1223S0112X with license number 3212388 (ZZ). The provider is registered as an organization and their NPI record was last updated 15 years ago. Brenda Licon operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Mr. Alejandro Ramos (Biller)
- NPI
- 1386913838 Verify this NPI
- Provider Name
- BRENDA LICON
- Entity Type
- Organization
- Location Address
- 9360-204 I COMONFORT AVE TIJUANA, BC 22000
- Location Phone
- (664) 684-7285
- Mailing Address
- PO BOX 210116 CHULA VISTA, CA 91921
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 12-28-2011
- Last Update Date
- 12-28-2011
- Code Navigator
A dentist like Brenda Licon is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist Oral and Maxillofacial Surgery
- Taxonomy Code
- 1223S0112X
- Type
- Dental Providers
- License No.
- 3212388
- License State
- ZZ
- Taxonomy Description
- An oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
Group Taxonomy 193200000X MULTI-SPECIALTY GROUP
This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1386913838, enumerated as an "organization" on December 28, 2011.
The provider is located at 9360-204 I COMONFORT AVE TIJUANA, BC 22000 and the phone number is (664) 684-7285.
Dentist with taxonomy code 1223S0112X and a focus in Oral and Maxillofacial Surgery.
