Maria Naanaa, DDS
Individual provider Active NPI Dentist · Hilmar, CA
NPI 1750800736 · NPPES record last updated Sep 12, 2017
Key facts
- NPI
- 1750800736
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 101642 (CA)
- Practice address
- 7970 Lander Ave Ste a
Hilmar, CA 95324-8350 - Phone
- (209) 262-1816
- NPI assigned
- Sep 12, 2017
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 101642 | CA | MD | Clinical Social Worker |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 101642 | CA | Yes |
Addresses
Primary practice location
7970 Lander Ave Ste a
Hilmar, CA 95324-8350
Mailing address
2002 Olivegate LN
San Jose, CA 95136-3213
Phone (408) 529-7894
Other providers in Hilmar, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 12, 2017. 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.