Individual provider · Type 1 NPI
Peter Michael Loomer, DDS
Periodontics · San Francisco, CA
NPI number
1508082819
Active
Practice location
707 Parnassus Avenue, Box 0762
San Francisco, CA 94903-0762
Mailing address
521 Parnassus Ave. C628, Box 0650
San Francisco, CA 94903-5004
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | SP198 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
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About NPI 1508082819
Peter Michael Loomer, DDS's National Provider Identifier is 1508082819, issued on Apr 17, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Francisco, CA. The record was last updated on Jul 8, 2007.