ANDREY ANTONENKO DDS NPI 1144672874

NPI Information

Andrey Antonenko, DDS is an endodontics dentist in Roseville, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. Andrey Antonenko, DDS NPI is 1144672874. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

10 SIERRA GATE PLZ STE 190
ROSEVILLE, CA
ZIP 95678-647
Phone: (916) 786-3303

The enumeration date for this NPI number is 7/6/2016 and was last updated on 11/6/2020.

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:

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