Peter John Georgio
Dental Public Health
16835 Alkali Dr Suite M
Lemoore
, California 93245-9463
Peter John Georgio
Dental Public Health
16835 Alkali Dr Suite M
Lemoore
, California 93245-9463
(559) 227-2880
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About
Features
Specialties
- Dental Public Health
Languages spoken
- English
Location
First Address
- Peter John Georgio
- 2263 W Birch Ave
- Fresno, CA
- Zip : 93711-0442
- Fax : (559) 227-2880
- Phone : (559) 431-8515
Second Address
- Peter John Georgio
- 16835 Alkali Dr Suite M
- Lemoore, CA
- Zip : 93245-9463
- Fax : (559) 924-2197
- Phone : (559) 924-0460
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 1223D0001X | Dental Public Health | CA26640 | CA |
National Provider Identifier
| NPI | 1104838010 |
|---|---|
| Provider Name | Peter John Georgio |
| First Address | Fresno, CA 93711-0442 |
| Second Address | Lemoore, CA 93245-9463 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 12/08/2006 |
| Last Update Date | 08/07/2007 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| 26640 | (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.