Organization
UCSF FACULTY GROUP DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CHARLES BERTOLAMI DDS (DEAN, SCHOOL OF DENTISTRY)
(415) 476-1323
Entity
Organization
Contact information
Practice address
707 PARNASSUS AVE, SUITE D4000, SAN FRANCISCO, CA 94143-2210
(415) 476-3028
(415) 502-8399
Mailing address
707 PARNASSUS AVE, SUITE D4000, SAN FRANCISCO, CA 94143-2210
(415) 476-3028
(415) 502-8399
Taxonomy
Speciality
Code
Description
License number
State
1223E0200X
Endodontics
—
—
1223G0001X
General Practice Dentistry
—
—
1223P0700X
Prosthodontics
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2065
DELTA DENTAL
CA
Enumeration date
10/16/2006
Last updated
09/11/2025
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