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MS. DEANNA B RISOS DMD NPI 1104849041


NPI Information

NPI: 1104849041
Provider Name: MS. DEANNA B RISOS, DMD
Classification: Dentist - 1223G0001X
Entity Type: Individual

Specialization: General Practice

PECOS Registration: Yes

Address:
841 KUHN DR
SUITE # 102
CHULA VISTA, CA
ZIP 91914
Phone: (619) 482-8880
Get Directions

MS. Deanna B Risos, DMD is a general practice dentist in Chula Vista, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. MS. Deanna B Risos, DMD NPI is 1104849041. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

841 KUHN DR
SUITE # 102
CHULA VISTA, CA
ZIP 91914-552
Phone: (619) 482-8880
Fax: (619) 482-0099

The NPI 1104849041 is registered in the Medicare Provider, Enrollment, Chain and Ownership System (PECOS). The provider is legally eligible to order and refer Part B (Clinical Laboratory and Imaging), Durable Medical Equipment, Part A Home Health Agency (HHA).

The enumeration date for this NPI number is 7/25/2006 and was last updated on 8/17/2012.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice50416CALIFORNIAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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