Shaw Family Dental
LBN: Demetrio Sta Ana Jr Dds Inc
Shaw Family Dental is an health care organization with primary practice located at 3616 W Shaw Ave , Fresno CA 93711-3231. The organization recently has only one registered license in Dental Providers / Dentist, which is considered as the primary health care specialty.
Demetrio Sta Ana Jr Dds Inc can be contacted via phone (559) 277-0111, or through Sta. Ana, Demetrio Tagulinao via phone (559) 277-0111.
Contact Information
Primary practice address
3616 W Shaw Ave
Fresno CA 93711-3231
Phone: (559) 277-0111
Fax:
Website:
Authorized official contact:
Name: Sta. Ana, Demetrio Tagulinao Doctor of Dental Surgery (DDS)
Phone: (559) 277-0111
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Dentist | 122300000X | 43250 | California |
Profile Details
| NPI number | 1952581282 |
|---|---|
| LBN Legal business name | Demetrio Sta Ana Jr Dds Inc |
| DBA Doing business as | Shaw Family Dental |
| Authorized official | Sta. Ana, Demetrio Tagulinao Doctor of Dental Surgery (DDS) |
| Entity | Organization |
| Organization subpart 1 | Yes |
| Enumeration date | Nov 3rd, 2007 |
| Last updated | Mar 7th, 2023 - about 3 years ago |
1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1952581282 | NPPES |
| California | Other | 43250 | DENTAL LICENSE |
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