Joseph Antypas, DDS
Individual provider Active NPI General Practice Dentistry · Riverbank, CA
NPI 1487786356 · NPPES record last updated Jun 18, 2013
Key facts
- NPI
- 1487786356
- Entity type
- Individual (NPI type 1)
- Primary specialty
- General Practice Dentistry 1223G0001X
- License
- B40525 (CA)
- Practice address
- 3324 Santa Fe St Ste B
Riverbank, CA 95367-2317 - Phone
- (209) 869-1558
- Fax
- (209) 869-1560
- NPI assigned
- Mar 9, 2007
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| B40525 | CA | MD | General Practice Dentistry |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | B40525 | CA | Yes |
Addresses
Primary practice location
3324 Santa Fe St Ste B
Riverbank, CA 95367-2317
Mailing address
3324 Santa Fe St Ste B
Riverbank, CA 95367-2317
Phone (209) 869-1558
Other providers in Riverbank, CA
- Chidera Aniche
- Karla Aniciete
- Laura Michelle Anthony
- Cesar Antillion
- Brisa Antunez Mendoza
- Munachiso Anwukah
- Jasmin Apaldetti
- Moises Aparicio
- Gabriella Apolinario
- William Aquino
All providers in Riverbank, 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 Jun 18, 2013. 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.