MICHAEL JOHN SCIANAMBLO DDS - NPI 1730245903

Q: What is Michael Scianamblo's NPI number?

The NPI number for Michael Scianamblo is 1730245903. It was assigned to this individual provider in the NPPES registry on December 29, 2006.

Q: What is Michael Scianamblo's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Endodontics, with taxonomy code 1223E0200X.

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About Michael John Scianamblo Dds NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MICHAEL JOHN SCIANAMBLO DDS (NPI 1730245903) is an individual endodontics provider in San Rafael, California, licensed in California (27065) and active in the NPI registry since December 2006.

NPPES Registry Identity

NPI1730245903

Entity TypeIndividualMale

Primary Taxonomy1223E0200X

Provider Legal NameMICHAEL JOHN SCIANAMBLOCredential: DDS

Location Address1526 5TH AVESan Rafael, CA 94901-1852

Mailing Address1526 5th AveSan Rafael, CA 94901-1852 · (415) 457-3002 · Fax (415) 457-0591

Phone(415) 457-3002

Fax(415) 457-0591

Sole ProprietorYes

Enumeration DateDecember 29, 2006

Last NPPES UpdateJuly 8, 2007

✔ NPI 1730245903 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · EndodonticsDental Providers

Taxonomy Code1223E0200X

License✔ Licensed in CA · 27065

Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.

1526 5TH AVE, San Rafael, CA 94901

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