Michael F Edziak, DDS

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

D22148 Issued in CA

Legal business name

MICHAEL F EDZIAK, DDS

Practice address

150 Hospital Dr.
Vallejo, CA 94589

Phone

(707) 642-4403

Fax

(707) 642-0844

NPI assigned

May 23, 2007

Organization subpart

No

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

Authorized official

Name

Dr. Michael F Edziak, D.D.S.NPI 1063629236

Title

Proprietor

Phone

(707) 642-4403

Specialties & licenses 1

Addresses

Locations

Practitioners 1

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

• Michael Francis Edziak, DDS

  • General Practice Dentistry
  • Vallejo, CA
  • NPI 1063629236
  NPD (past) Authorized official

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1912117326",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 HOSPITAL DR.",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94589",
            "telephone_number": "707-642-4403",
            "fax_number": "707-642-0844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "150 HOSPITAL DR.",
            "city": "VALLEJO",
            "state": "CA",
            "postal_code": "94589",
            "telephone_number": "707-642-4403",
            "fax_number": "707-642-0844"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MICHAEL F EDZIAK, DDS",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-23",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "EDZIAK",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "F",
        "authorized_official_title_or_position": "PROPRIETOR",
        "authorized_official_telephone_number": "707-642-4403",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.D.S."
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "D22148",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jeid Merritt, MD
• Maclyn Merritt, RDH
• Margaux Martine Mertz, RADT
• Christine Marie Messinger-Ferguson, MFT
• Arthur Metu, R.PH
• Mikaela Tristan Middleton, MD
• Danielle Teves Miguel
• John L Miklos
• Mirasol Milano
• Milestones of Development, Inc

• General Practice Dentistry in Vallejo, CA
• Providers in Vallejo, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.