Taggett, Stefanie Aileen

Taggett, Stefanie Aileen is an individual health care provider with primary practice located at 7525 N Cedar Ave Ste 105 , Fresno CA 93720-2698. She recently has only one registered license in Dental Providers / Dental Assistant, which is considered as her primary health care specialty. Taggett, Stefanie Aileen can be contacted via phone (559) 439-6600.

Contact Information

Primary practice address
7525 N Cedar Ave Ste 105 Fresno CA 93720-2698
Phone: (559) 439-6600
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Dental Assistant 126800000X RDA82815

Profile Details

NPI number 1134882541
LBN Legal business name Taggett, Stefanie Aileen
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 21st, 2021
Last updated Oct 21st, 2021 - about 4 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1134882541 NPPES
California MEDICAID RDA82815

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