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Individual provider Active NPI Public Health Dentistry · Fresno, CA

NPI 1134040793 · NPPES record last updated Jul 21, 2026

Key facts

NPI
1134040793
Entity type
Individual (NPI type 1)
Primary specialty
Public Health Dentistry 1223D0001X
License
113245 (CA)
Practice address
3652 W Shields Ave
Fresno, CA 93722
Phone
(800) 492-4227
NPI assigned
Jul 21, 2026
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

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Public Health Dentistry 1223D0001X 113245 CA Yes

Addresses

Primary practice location

3652 W Shields Ave
Fresno, CA 93722

Mailing address

475 Tehama St Unit 103
San Francisco, CA 94103-4147
Phone (628) 294-7199

Other providers in Fresno, CA

All providers in Fresno, CA · Public Health Dentistry in California

Sources for this page

Verify at the official NPI Registry.