Dr. Renz Anthony Tan Antonio, DDS
Dentist, Prosthodontics in San Diego, CA. Individual provider (NPI-1).
NPI number1306407267
StatusActive
Last updated in NPPESAug 12, 2024
Details
- NPI
- 1306407267
- Entity type
- Individual (NPI-1)
- Name
- Dr. Renz Anthony Tan Antonio
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jun 21, 2019
- Certification date
- Aug 12, 2024
- Last updated
- Aug 12, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223P0700X | Dentist, Prosthodontics | 103836 | CA | Yes |
| 122300000X | Dentist | 103836 | CA |
Practice location
34800 Bob Wilson DrSan Diego, CA 92134-2111
Phone 619-532-8600
Mailing address
70 Empire CtMountain View, CA 94040-1591
Other practice locations
620 John Paul Jones Cir
Portsmouth, VA 23708-2111
Portsmouth, VA 23708-2111
Phone 757-953-2711
8955 Wood Rd Bldg 1
Bethesda, MD 20889-2111
Bethesda, MD 20889-2111
Phone 301-295-1550
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.
Other Prosthodontics providers in San Diego, CA
- Aaron William Barto, DDS, MSNPI 1356913321
- Bruce Napier Blandy, D.D.S.NPI 1417920869
- Bosworth, INC A Dental CorporationNPI 1285786616
- Tony G Chammas, DMDNPI 1891831517
- James Douglas Dickinson, DDSNPI 1922109552
- Christopher David Dindal, D.M.D.NPI 1629321278
- Dung T.P. Nguyen Dental CorporationNPI 1518021500
- Adam Jeffrey Geach, D.M.D.NPI 1679733240
- John Henry Winsten Gelles, D.D.S.NPI 1033147905
- Miguel Agustin Grillo, MDNPI 1942340104
All 31 Prosthodontics providers in San Diego · All 61,118 providers in San Diego
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.