Atienza Family Dental Corporation
Dentist in Newark, CA. Organization (NPI-2).
NPI number1124319652
StatusActive
Last updated in NPPESMay 2, 2011
Details
- NPI
- 1124319652
- Entity type
- Organization (NPI-2)
- Legal business name
- Atienza Family Dental Corporation
- Organization subpart
- No
- Enumeration date
- May 2, 2011
- Last updated
- May 2, 2011
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 122300000X | Dentist | 40786 | CA | Yes |
Practice location
37070 Newark Blvd Ste CNewark, CA 94560-3798
Phone 510-793-2665 · Fax 510-793-2695
Mailing address
37070 Newark Blvd Ste CNewark, CA 94560-3798
Phone 510-793-2665 · Fax 510-793-2695
Authorized official
Regis M Atienza
Owner
5102056151
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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