Organization
PENINSULA PEDIATRIC DENTAL PRACTICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JAN MURRAY (OFFICE MANAGER)
(650) 375-8300
Entity
Organization
Contact information
Practice address
50 S SAN MATEO DR STE 160, SAN MATEO, CA 94401-3859
(650) 375-8300
(650) 375-8130
Mailing address
50 S SAN MATEO DR STE 160, SAN MATEO, CA 94401-3859
(650) 375-8300
(650) 375-8130
Taxonomy
Speciality
Code
Description
License number
State
1223P0221X
Pediatric Dentistry
22673
CA
1223P0221X
Pediatric Dentistry
Primary
61391
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1386792919
DENTICAL
CA
Enumeration date
01/02/2014
Last updated
01/02/2014
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Contact us