| Dennis Paul Nutter DDS, Inc | |
|
3694 Hilborn Rd Ste 100 Fairfield CA 94534-7994 | |
| (707) 422-5444 | |
| (707) 422-1613 |
| Full Name | Dennis Paul Nutter DDS, Inc |
|---|---|
| Speciality | Dentist - Pediatric Dentistry |
| Location | 3694 Hilborn Rd Ste 100, Fairfield, California |
| Authorized Official Name and Position | Dennis Paul Nutter (OWNER) |
| Authorized Official Contact | 7074225444 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Dennis Paul Nutter DDS, Inc 3694 Hilborn Rd Ste 100 Fairfield CA 94534-7994 Ph: (707) 422-5444 | Dennis Paul Nutter DDS, Inc 3694 Hilborn Rd Ste 100 Fairfield CA 94534-7994 Ph: (707) 422-5444 |
| NPI Number | 1386009884 |
|---|---|
| Provider Enumeration Date | 12/28/2015 |
| Last Update Date | 12/28/2015 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1386009884 | NPI | - | NPPES |
| B28054 | Other | CA | DENTI-CAL |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223P0221X | Dentist - Pediatric Dentistry | 28054 (California) | Primary |
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