Bronika Atoardoshahi, DDS
Individual provider Active NPI Dentist · Turlock, CA
NPI 1770064487 · NPPES record last updated Aug 22, 2018
Key facts
- NPI
- 1770064487
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- DDS102768 (CA)
- Practice address
- 2808 W Monte Vista Ave
Turlock, CA 95380-8409 - Phone
- (209) 667-2879
- NPI assigned
- Aug 22, 2018
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 2
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 |
|---|---|---|---|
| DDS102768 | CA | MD | Dentist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Atoardoshahi Dental PC | Current | Accepting new patients | |
| Turlock Smiles Dentistry Dental Group | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | DDS102768 | CA | Yes |
Addresses
Primary practice location
2808 W Monte Vista Ave
Turlock, CA 95380-8409
Mailing address
2808 W Monte Vista Ave
Turlock, CA 95380-8409
Phone (209) 667-2879
Other providers in Turlock, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 22, 2018. 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.