Dr. Joe Allan Provines
Periodontist
105 South Dr Suite 200
Mountain View
, California 94040-4311
Dr. Joe Allan Provines
Periodontist
105 South Dr Suite 200
Mountain View
, California 94040-4311
(650) 964-4864
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About
Features
Specialties
- Periodontist
Languages spoken
- English
Location
First Address
- Dr. Joe Allan Provines
- 877 W Fremont Ave Ste I2
- Sunnyvale, CA
- Zip : 94087-2319
- Fax : (650) 964-4864
- Phone : (650) 964-4867
Second Address
- Dr. Joe Allan Provines
- 105 South Dr Suite 200
- Mountain View, CA
- Zip : 94040-4311
- Fax : (650) 964-4864
- Phone : (650) 964-4867
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223P0300X | Periodontist | 20440 | CA |
National Provider Identifier
| NPI | 1124118914 |
|---|---|
| Provider Name | Dr. Joe Allan Provines |
| First Address | Sunnyvale, CA 94087-2319 |
| Second Address | Mountain View, CA 94040-4311 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 13/10/2006 |
| Last Update Date | 04/04/2016 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.