Dr. Robert Elliott Isman
Dental Public Health
11155 International Dr
Rancho Cordova
, California 95670-6096
Dr. Robert Elliott Isman
Dental Public Health
11155 International Dr
Rancho Cordova
, California 95670-6096
(775) 254-4491
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Dr. Robert Elliott Isman
- 212 Huerta Pl
- Davis, CA
- Zip : 95616-0271
- Fax : (775) 254-4491
- Phone : (530) 758-1456
Second Address
- Dr. Robert Elliott Isman
- 11155 International Dr
- Rancho Cordova, CA
- Zip : 95670-6096
- Fax : (916) 464-3783
- Phone : (916) 464-3794
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | 21143 | CA |
National Provider Identifier
| NPI | 1134212095 |
|---|---|
| Provider Name | Dr. Robert Elliott Isman |
| First Address | Davis, CA 95616-0271 |
| Second Address | Rancho Cordova, CA 95670-6096 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | Yes |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/10/2006 |
| Last Update Date | 09/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| B21143 | (05) | CA |
| B2114301 | (05) | CA |
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.