Jonathan Fillbach X, DDS

Dentist · Petaluma, CA

Individual Active NPI

NPI number 1578891594

Practice location

12 W El Rose Dr
Petaluma, CA 94952-4023
Phone
(707) 763-7229

Open in Google Maps

NPI record

NPI
1578891594
Entity type
Individual (Type 1)
Enumeration date
December 2, 2009
Last updated
December 2, 2009
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Dentist Primary 122300000X 22728 CA

About Dr. Fillbach

Jonathan Fillbach X, DDS is a healthcare provider registered in the NPI registry with the primary taxonomy Dentist (code 122300000X). The practice location is 12 W El Rose Dr, Petaluma, CA 94952-4023. The NPI number 1578891594 was assigned on December 2, 2009 and the record was last updated on December 2, 2009.

Dr. Fillbach lists a license in the registry: #22728 (CA) for Dentist. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jonathan Fillbach X, DDS?

The NPI number is 1578891594.

What is the phone number of Dr. Fillbach?

The phone number listed for the practice location is (707) 763-7229.

Where is Dr. Fillbach located?

12 W El Rose Dr, Petaluma, CA 94952-4023.

What is the taxonomy code for Dr. Fillbach?

The primary taxonomy code is 122300000X – Dentist.

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.

Other Dentist providers in Petaluma

All Dentist providers in Petaluma, CA →