DR. RENZ ANTHONY TAN ANTONIO DDS NPI 1306407267

NPI Information

  • NPI: 1306407267
  • Provider Name: DR. RENZ ANTHONY TAN ANTONIO, DDS
  • Classification: Dentist - 1223P0700X
  • Specialization: Prosthodontics
  • Entity Type: Individual
  • Address: 34800 BOB WILSON DR
    SAN DIEGO, CA
    ZIP 92134
  • Phone: (619) 532-8600

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NPI Details

DR. Renz Anthony Tan Antonio, DDS is a prosthodontics dentist in San Diego, CA. The provider is that branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes. DR. Renz Anthony Tan Antonio, DDS NPI is 1306407267. 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:

34800 BOB WILSON DR
SAN DIEGO, CA
ZIP 92134-111
Phone: (619) 532-8600

The enumeration date for this NPI number is 6/21/2019 and was last updated on 8/12/2024.

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 Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1122300000XDentist103836CALIFORNIANo
21223P0700XDentistProsthodontics103836CALIFORNIAYes

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: 11/21/2025

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