PEACH TREE DENTAL
NPI 1750506036
Dentist - General Practice in San Luis Obispo, CA

NPI Status: Active since April 13, 2007

Contact Information

862 MEINECKE AVENUE
SUITE 200
SAN LUIS OBISPO, CA
ZIP 93405
Phone: (805) 544-7804
Fax: (805) 544-6020

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  • Organization
  • Dentist
  • General Practice

About PEACH TREE DENTAL

This page provides the complete NPI Profile along with additional information for Peach Tree Dental, a provider established in San Luis Obispo, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1750506036 assigned on April 2007. The practitioner's primary taxonomy code is 1223G0001X with license number 58800 (CA). The provider is registered as an organization and their NPI record was last updated 11 years ago. Peach Tree Dental operates as a multi-specialty business group with one or more individual providers who practice different areas of specialization. The provider's is doing business as Peach Tree Dental. The authorized official of this NPI record is Mr. Troy Kendall Slade D.m.d. (Dentist/owner)

NPI
1750506036
Provider Legal Name
SLADE DMD CORPORATION
Other Organization Name
PEACH TREE DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
862 MEINECKE AVENUE SUITE 200 SAN LUIS OBISPO, CA 93405
Location Phone
(805) 544-7804
Location Fax
(805) 544-6020
Mailing Address
862 MEINECKE AVENUE SUITE 200 SAN LUIS OBISPO, CA 93405
Mailing Phone
(805) 544-7804
Mailing Fax
(805) 544-6020
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
04-13-2007
Last Update Date
08-04-2014
Code Navigator

A dentist like Peach Tree Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
58800
License State
CA
Taxonomy Description
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
11223G0001XDental Providers

Dentist
General Practice

62898 (CA)

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

MR. TROY KENDALL SLADE D.M.D.

Authorized Official Title
DENTIST/OWNER
Authorized Official Phone
(805) 544-7804

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NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1750506036
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
271001001206
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 7 + 1 + 0 + 0 + 1 + 0 + 0 + 1 + 2 + 0 + 6 + 24 = 44
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
50 - 44 = 66

The NPI number 1750506036 is valid because the calculated check digit 6 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1750506036, enumerated in the NPI registry as an "organization" on April 13, 2007

The provider is located at 862 Meinecke Avenue Suite 200 San Luis Obispo, Ca 93405 and the phone number is (805) 544-7804

This medical organization specializes in Dentist with taxonomy code 1223G0001X with a focus in General Practice

This NPI record was last updated on April 13, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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