Ray G. Enneking, D.D.S

General Practice Dentistry · Grass Valley, CA

Individual Active NPI

NPI number 1073664314

Practice location

316 S Auburn St Ste 5
Grass Valley, CA 95945-7298
Phone
(530) 274-0920
Fax
(530) 274-8935

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NPI record

NPI
1073664314
Entity type
Individual (Type 1)
Enumeration date
January 15, 2007
Last updated
July 8, 2007
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 18545 CA

About Dr. Enneking

Ray G. Enneking, 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 316 S Auburn St Ste 5, Grass Valley, CA 95945-7298. The NPI number 1073664314 was assigned on January 15, 2007 and the record was last updated on July 8, 2007.

Dr. Enneking lists a license in the registry: #18545 (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 Ray G. Enneking, D.D.S?

The NPI number is 1073664314.

What is the phone number of Dr. Enneking?

The phone number listed for the practice location is (530) 274-0920.

Where is Dr. Enneking located?

316 S Auburn St Ste 5, Grass Valley, CA 95945-7298.

What is the taxonomy code for Dr. Enneking?

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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