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Mr. Michael Joseph Amodeo, DDS
Pediatric Dentist in San Diego, California
NPI 1790852473

Michael Joseph Amodeo is a Pediatric Dentist based in San Diego, CA and is specialized in Pediatric Dentistry. Michael Joseph Amodeo practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Michael Joseph Amodeo is 1790852473 and holds a License No. 47838 (California).

The current practice location address for Michael Joseph Amodeo is 11616 Iberia Place, San Diego, CA and can be reached out via phone at 858-676-5000 and via fax at 858-676-5016. You can also correspond with Michael Joseph Amodeo through the mailing address at 10210 BAYLEE LANE, SAN DIEGO, CA - 92127 (mailing address contact number: 858-312-1751).

Location: 11616 Iberia Place, San Diego, CA, 92127
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1790852473
Provider Name
Michael Joseph Amodeo
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
11616 Iberia Place, San Diego, CA, 92127
Phone Number
858-676-5000
Fax Number
858-676-5016
Provider Enumeration Date
11/29/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
809272 01 UNITED CONCORDIA INS
institution
Provider Business Practice Location Address Details
Address
11616 Iberia Place
City
San Diego
State
California
Zip
92128
Phone Number
858-676-5000
Fax Number
858-676-5016
person
Provider Business Mailing Address Details
Address
10210 Baylee Lane
City
San Diego
State
California
Zip
92127
Phone Number
858-312-1751
Fax Number
858-676-5016
person
Provider's Taxonomy Details 1
Type
Dental Providers
Classification
Dentist
Speciality
Pediatric Dentistry
Taxonomy
1223P0221X
License No.
47838 (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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