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Joey Pedram

Pediatric Dentist

1188 Roadrunner Way
Simi Valley , California 93065-3158

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Joey Pedram

Pediatric Dentist

1188 Roadrunner Way
Simi Valley , California 93065-3158

(805) 526-1188

Write a Review Save Call

Joey Pedram

Pediatric Dentist

1188 Roadrunner Way
Simi Valley , California 93065-3158

(805) 526-1188 Call

Write a Review Save

About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Pediatric Dentist

Languages spoken

  • English

Location

1188 Roadrunner Way Simi Valley , California 93065-3158

First Address

  • Joey Pedram
  • 1188 Roadrunner Way
  • Simi Valley, CA
  • Zip : 93065-3158
  • Phone : (805) 526-1188

Second Address

  • Joey Pedram
  • 1188 Roadrunner Way
  • Simi Valley, CA
  • Zip : 93065-3158
  • Phone : (805) 526-1188

Reviews

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FAQs


Where did Joey Pedram attend graduate school?

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Where did Joey Pedram do his residency?

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Where did Joey Pedram do his fellowship?

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Is Joey Pedram board certified?

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What type of doctor is Joey Pedram

Pediatric Dentist

In what state does Joey Pedram practice in?

California

Where is Joey Pedram ’s practice located?

1188 Roadrunner Way , Simi Valley, California, 93065-3158

What is Joey Pedram ’s gender?

Male

Is Joey Pedram a sole practitioner?

No

Is Joey Pedram accepting new patients?

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What languages does Joey Pedram speak?

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Does Joey Pedram accept insurance?

Yes, Joey Pedram accepts insurance

Does Joey Pedram offers telemedicine?

Joey Pedram has not indicated if he offers telemedicine

What is Joey Pedram ’s professional license number?

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What is Joey Pedram ’s NPI number?

1003106949

Does Joey Pedram have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
Y 1223P0221X Pediatric Dentist 60095 CA

National Provider Identifier

NPI 1003106949
Provider Name Joey Pedram
First Address Simi Valley, CA 93065-3158
Second Address Simi Valley, CA 93065-3158
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 12/04/2011
Last Update Date 12/04/2011

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
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?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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