Bert K. Funatsu, D.D.S.

General Practice Dentistry · Pasadena, CA

Individual Active NPI

NPI number 1245332097

Practice location

301 S Fair Oaks Ave
Suite 205
Pasadena, CA 91105-2561
Phone
(626) 796-8904
Fax
(626) 796-8998

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NPI record

NPI
1245332097
Entity type
Individual (Type 1)
Enumeration date
September 2, 2006
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 17682 CA

About Dr. Funatsu

Bert K. Funatsu, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 301 S Fair Oaks Ave, Suite 205, Pasadena, CA 91105-2561. The NPI number 1245332097 was assigned on September 2, 2006 and the record was last updated on July 8, 2007.

Dr. Funatsu lists a license in the registry: #17682 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Bert K. Funatsu, D.D.S.?

The NPI number is 1245332097.

What is the phone number of Dr. Funatsu?

The phone number listed for the practice location is (626) 796-8904.

Where is Dr. Funatsu located?

301 S Fair Oaks Ave, Suite 205, Pasadena, CA 91105-2561.

What is the taxonomy code for Dr. Funatsu?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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