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Acree-isenhower Dental Coporation
Pediatric Dentist in Modesto, California
NPI 1427021757

Acree-isenhower Dental Coporation is a Pediatric Dentist based in Modesto, CA and is specialized in Pediatric Dentistry. Acree-isenhower Dental Coporation practices in Modesto, CA. The NPI Number for Acree-isenhower Dental Coporation is 1427021757 and holds a License No. 48870 (California).

The current practice location address for Acree-isenhower Dental Coporation is 1801 Tully Road, Modesto, CA and can be reached out via phone at 209-343-3500 and via fax at 209-527-1971.

Location: 1801 Tully Road, Modesto, CA, 95350
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1427021757
Provider Name
Acree-isenhower Dental Coporation
Credential
Provider Entity Type
Organization
Address
1801 Tully Road, Modesto, CA, 95350
Phone Number
209-343-3500
Fax Number
209-527-1971
Provider Enumeration Date
02/08/2006
Last Update Date
02/15/2025
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Provider's Legacy Identifiers
Identifier Type State Issuer
20789 01 CA DENTAL LICENSE
institution
Provider Business Practice Location Address Details
Address
1801 Tully Road
City
Modesto
State
California
Zip
95350
Phone Number
209-343-3500
Fax Number
209-527-1971
person
Provider Business Mailing Address Details
Address
1801 Tully Road
City
Modesto
State
California
Zip
95350
Phone Number
209-343-3500
Fax Number
209-527-1971
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
General Practice
Taxonomy
1223G0001X
License No.
48880 (California)
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
person
Provider's Taxonomy Details 2
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
48870 (California)
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
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