Anthony P Varboncoeur DDC Inc & Cortland S Caldemeyer DDS Apc GP

Key facts

NPI: 1710023213
Entity type: Organization (NPI type 2)
Primary specialty: Dentist 122300000X
License: 47693
Legal business name: ANTHONY P VARBONCOEUR DDC INC & CORTLAND S CALDEMEYER DDS APC GP
Practice address: 5565 Grossmont Center Dr
BLD 1 Ste 129
La Mesa, CA 91942
Phone: (619) 463-4486
Fax: (619) 463-6553
NPI assigned: Jan 30, 2007
Organization subpart: No

Authorized official

Name: Dr. Cortland S. Caldemeyer, DDS NPI 1407909724
Title: Partner
Phone: (619) 463-4486

Authorized official NPPES reports the authorized official by name only; the link goes to the one practitioner connected to this organization with that name.

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Cortland S Caldemeyer, D.D.S. Oral and Maxillofacial Surgery (Dentist) · Cookeville, TN · NPI 1407909724

NPD Authorized official
Anthony Paul Varboncoeur Oral and Maxillofacial Surgery (Dentist) · La Mesa, CA · NPI 1922157213

NPD (past)

National Provider Directory

Specialties & licenses

Specialty (taxonomy)	Code	License	Primary
Dentist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	122300000X	47693	Yes
Dentist Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	122300000X	37512
Oral and Maxillofacial Pathology Dentistry Group: 193400000X MULTIPLE SINGLE SPECIALTY GROUP	1223P0106X

Addresses

Primary practice location

5565 Grossmont Center Dr
BLD 1 Ste 129
La Mesa, CA 91942

Mailing address

5565 Grossmont Center Dr
BLD 1 Ste 129
La Mesa, CA 91942
Phone (619) 463-4486

Other names

P.Thomas Hiser DDS, MS, Inc. - Anthony P. Varboncoeur DDS, Inc. Former legal business name

Other providers in La Mesa, CA

All providers in La Mesa, CA · Dentist in California

Sources for this page

NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 19, 2011. Information in NPPES is self-reported and not verified by CMS.
NUCC Health Care Provider Taxonomy: specialty names.
National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.