Rogelio Avalos Barrera, DDS
Individual provider Active NPI General Practice Dentistry · Marysville, CA
NPI 1013930239 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1013930239
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 42274 (CA)
- Practice address
- 812 4TH St
Suite E
Marysville, CA 95901 - Phone
- (530) 742-6971
- NPI assigned
- Jul 26, 2006
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 42274 | CA | MD | Licensed Vocational Nurse |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | 42274 | CA | Yes |
Addresses
Primary practice location
812 4TH St
Suite E
Marysville, CA 95901
Mailing address
812 4TH St
Suite E
Marysville, CA 95901
Phone (530) 742-6971
Other providers in Marysville, CA
- Weliya M Bajiba
- Sukhraj Balhan
- Grace Balich
- Sausha Bandy
- Rina Banuelos
- Jennifer Barry
- Kayla Batad
- Cindy Marie Bates
- Hamad Bath
- Bonnie Marie Behre
All providers in Marysville, CA · General Practice Dentistry in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.