Jonathan Vongschanphen, D.D.S.

General Practice Dentistry · Rocklin, CA

Individual Active NPI

NPI number 1073658894

Practice location

6819 Lonetree Blvd
Suite 106
Rocklin, CA 95765-5877
Phone
(916) 772-2838
Fax
(916) 772-3116

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NPI record

NPI
1073658894
Entity type
Individual (Type 1)
Enumeration date
February 20, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 48564 CA

About Dr. Vongschanphen

Jonathan Vongschanphen, D.D.S. is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 6819 Lonetree Blvd, Suite 106, Rocklin, CA 95765-5877. The NPI number 1073658894 was assigned on February 20, 2007 and the record was last updated on July 8, 2007.

Dr. Vongschanphen lists a license in the registry: #48564 (CA) for General Practice Dentistry. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Vongschanphen, D.D.S.?

The NPI number is 1073658894.

What is the phone number of Dr. Vongschanphen?

The phone number listed for the practice location is (916) 772-2838.

Where is Dr. Vongschanphen located?

6819 Lonetree Blvd, Suite 106, Rocklin, CA 95765-5877.

What is the taxonomy code for Dr. Vongschanphen?

The primary taxonomy code is 1223G0001X – General Practice Dentistry.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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