Meng-Ju Du
Individual provider Active NPI General Practice Dentistry · Ripon, CA
NPI 1396286167 · NPPES record last updated Dec 12, 2024
Key facts
- NPI
- 1396286167
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- 104908 (CA)
- Practice address
- 1150 W Main St
Ripon, CA 95366-3005 - Phone
- (209) 599-4239
- Fax
- (209) 599-7899
- NPI assigned
- Mar 14, 2017
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| Student in an Organized Health Care Education/Training Program | 390200000X | |||
| General Practice Dentistry | 1223G0001X | 104908 | CA | Yes |
Addresses
Primary practice location
1150 W Main St
Ripon, CA 95366-3005
Mailing address
UCLA School of Dentistry
10833 Le Conte Ave. Box 951668
Los Angeles, CA 90095-1668
Phone (310) 825-8031
Other practice location 1
Ucla School Of Dentistry
10833 Le Conte Ave. Box 951668
Los Angeles, CA 90095-1668
Phone (310) 825-8031
Other providers in Ripon, CA
- Erin Colleen Dale
- James Jeffrey Daley
- Darwin Van Wyngarden a Professional Chiropractic Corporation
- Daryl R Dutter MD Inc
- Daisy Diaz
- Deanna Duncan
- Daryl Ray Dutter
- John Ebster
- Yasmeen Elsumri
- Anne Engdahl
All providers in Ripon, 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 Dec 12, 2024. 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.