Geoffrey Glen Pena, DMD

General Practice Dentistry · Tracy, CA

Individual Active NPI

NPI number 1962014282

Practice location

1401 W 11TH St Ste a
Tracy, CA 95376-3702
Phone
(209) 830-7477

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NPI record

NPI
1962014282
Entity type
Individual (Type 1)
Enumeration date
August 18, 2020
Last updated
August 18, 2020
Certified
August 18, 2020
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
General Practice Dentistry Primary 1223G0001X 105245 CA

About Dr. Pena

Geoffrey Glen Pena, DMD is a healthcare provider registered in the NPI registry with the primary taxonomy General Practice Dentistry (code 1223G0001X). The practice location is 1401 W 11TH St Ste a, Tracy, CA 95376-3702. The NPI number 1962014282 was assigned on August 18, 2020 and the record was last updated on August 18, 2020.

Dr. Pena lists a license in the registry: #105245 (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 Geoffrey Glen Pena, DMD?

The NPI number is 1962014282.

What is the phone number of Dr. Pena?

The phone number listed for the practice location is (209) 830-7477.

Where is Dr. Pena located?

1401 W 11TH St Ste a, Tracy, CA 95376-3702.

What is the taxonomy code for Dr. Pena?

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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