DENTABLISS DENTAL NPI 1811397383

NPI Information

  • NPI: 1811397383
  • Provider Name: DENTABLISS DENTAL
  • Classification: Dentist - 1223D0004X
  • Specialization: Dentist Anesthesiologist
  • Entity Type: Organization
  • Other Name: DENTABLISS
  • Address: 111 DEERWOOD RD
    SUITE 170
    SAN RAMON, CA
    ZIP 94583
  • Phone: (925) 391-0091

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NPI Details

DENTABLISS DENTAL is a dentist anesthesiologist dentist in San Ramon, CA. The provider is a dentist who has successfully completed an accredited postdoctoral anesthesiology residency training program for dentists of two or more years duration, in accord with Commission on Dental Accreditation's Standards for Dental Anesthesiology Residency Programs, and/or meets the eligibility requirements for examination by the American Dental Board of Anesthesiology. DENTABLISS DENTAL NPI is 1811397383. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Dentabliss.

The provider's business location address is:

111 DEERWOOD RD
SUITE 170
SAN RAMON, CA
ZIP 94583-409
Phone: (925) 391-0091

The provider's authorized official is Cheri A Dang .
The authorized official title is Owner/president and has the following contact phone number (818) 800-4868.

The enumeration date for this NPI number is 9/3/2014 and was last updated on 10/29/2015.

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
11223G0001XDentistGeneral Practice58382CALIFORNIANo
21223D0004XDentistDentist Anesthesiologist58382CALIFORNIAYes

What is NPI?

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This page was last updated on: 11/21/2025

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