George Richard Pacal, D.D.S.

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

License

26104 Issued in CA

Practice address

903 N San Fernando Blvd
Suite 1
Burbank, CA 91504-4349

Phone

(818) 841-0685

Fax

(818) 843-6613

NPI assigned

Oct 19, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1161216000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1952483919",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "903 N SAN FERNANDO BLVD",
            "address_2": "SUITE 1",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044349",
            "telephone_number": "818-841-0685",
            "fax_number": "818-843-6613"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "903 N SAN FERNANDO BLVD",
            "address_2": "SUITE 1",
            "city": "BURBANK",
            "state": "CA",
            "postal_code": "915044349",
            "telephone_number": "818-841-0685",
            "fax_number": "818-843-6613"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PACAL",
        "first_name": "GEORGE",
        "middle_name": "RICHARD",
        "name_prefix": "Dr.",
        "credential": "D.D.S.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-10-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "",
            "desc": "Dentist, General Practice",
            "state": "CA",
            "license": "26104",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• General Practice Dentistry in Burbank, CA
• Providers in Burbank, 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 Jul 8, 2007; 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.