George Mednick, DDS, a Professionall Corporation

Primary specialty

Pediatric DentistryTaxonomy code 1223P0221X

License

D22165 Issued in CA

Legal business name

GEORGE MEDNICK, DDS, A PROFESSIONALL CORPORATION

Practice address

13264 Glen Brae Dr
Saratoga, CA 95070-4425

Phone

(408) 867-5546

NPI assigned

Nov 12, 2006

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. George Anthony Mednick, DDS

Title

President

Phone

(408) 867-5546

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1163289600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393632000000",
    "number": "1487725529",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13264 GLEN BRAE DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704425",
            "telephone_number": "408-867-5546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13264 GLEN BRAE DR",
            "city": "SARATOGA",
            "state": "CA",
            "postal_code": "950704425",
            "telephone_number": "408-867-5546"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGE MEDNICK, DDS, A PROFESSIONALL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-12",
        "last_updated": "2014-03-01",
        "status": "A",
        "authorized_official_last_name": "MEDNICK",
        "authorized_official_first_name": "GEORGE",
        "authorized_official_middle_name": "ANTHONY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "408-867-5546",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223P0221X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, Pediatric Dentistry",
            "state": "CA",
            "license": "D22165",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Pediatric Dentistry in Saratoga, CA
• Providers in Saratoga, CA by specialty
• Pediatric Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.