Pacofsky, Todd Webster
Pacofsky, Todd Webster is an individual health care provider with primary practice located at 2446 Fenton St Suite 102, Chula Vista CA 91914-3516. He recently has only one registered license in Dental Providers / Pediatric Dentistry, which is considered as his primary health care specialty. Pacofsky, Todd Webster can be contacted via phone (619) 216-1100.Contact Information
Primary practice address
2446 Fenton St Suite 102
Chula Vista CA 91914-3516
Phone: (619) 216-1100
Fax: (619) 216-1127
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Dental Providers / Pediatric Dentistry | 1223P0221X | 50503 | California |
Profile Details
| NPI number | 1699815852 |
|---|---|
| LBN Legal business name | Pacofsky, Todd Webster |
| Credentials | Doctor of Dental Medicine (DMD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Feb 7th, 2007 |
| Last updated | Sep 5th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1699815852 | NPPES |
| California | MEDICAID | D50503 |
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