ANDREY ANTONENKO


Address: 10 Sierra Gate Plz Ste 190, Roseville, CA 95678-6647
Phone: 9167863303

ANDREY ANTONENKO (NPI# 1144672874) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1144672874
Entity Type Individual
Full Name ANDREY ANTONENKO
Credential DDS
Practice Address 10 Sierra Gate Plz Ste 190
Roseville
CA 95678-6647
Practice Telephone 9167863303
Mailing Telephone 9167863303
Enumeration Date 2016-07-06
Last Update Date 2020-11-06
Gender Code M
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 1223E0200X Dentist
Specialization: Endodontics
100314 CA Dental Providers

Other Providers ANDREY ANTONENKO

NPI Name Taxonomy Address Enumeration
1912460536 Andrey Antonenko Counselor 7281 Garden Grove Blvd Ste H, Garden Grove, CA 92841-4212 2019-04-10

Office Location

Street Address 10 SIERRA GATE PLZ STE 190
City ROSEVILLE
State CA
Zip Code 95678-6647

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1114533064 Alexander V. Antipov, D.d.s., Inc. Dentist 911 Reserve Drive, Suite 150, Roseville, CA 95678 2020-09-16
1396378980 David F Shirley M D P C Family Medicine 4001 Impala Circle, Roseville, CA 95678 2020-02-21
1083256051 Rosemary Ellen Robben Community Health Worker Cirby Wellness Center 101 Cirby Hills Drive, Roseville, CA 95678 2019-10-11
1588217236 Kaiser Foundation Health Plan Inc Pharmacy 1021 Riverside Ave, Roseville, CA 95678 2019-07-22
1174093793 Neftali Hernandez Behavior Technician 1100 Roseville Parkway Apt 1021, Roseville, CA 95678 2018-11-26
1467951798 Amarantha Martinez Behavior Technician 1900 Quail Ridge Road, #99, Roseville, CA 95678 2018-02-01
1093231276 Compassionate Home Health, Ltd Home Health 1100 Melody Lane, Suite 106, Roseville, CA 95678 2017-08-18
1629598891 Jimena Andrade Martins Behavior Technician 602 Atkinson Street, Roseville, CA 95678 2017-06-20
1891221057 Zride Inc Taxi 106 Church Street, Suite 2, Roseville, CA 95678 2017-05-10
1568997641 Joline Trinh Pharmacist 1030 Pleasant Grove Boulevard, Roseville, CA 95678 2017-04-26
Find all providers in zip 95678

Taxonomy Information

Taxonomy Code 1223E0200X
Grouping Dental Providers
Classification Dentist
Specialization Endodontics

Taxonomy Definition

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.
Notes: Source: Council on Dental Education and Licensure, American Dental Association

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1316221674 Dwyer & Dow, A Dental Corp. Dentist 730 Sunrise Avenue #110, Roseville, CA 95661-4549 2011-10-05
1922296391 Bruce M. Holt, D.d.s., Inc. Dentist 1421 Secret Ravine Pkwy., Suite 101, Roseville, CA 95661 2007-10-10
1740357706 James Robert Dow Dentist 730 Sunrise Ave, Suite 110, Roseville, CA 95661-4549 2006-11-28
1275617367 Thomas George Dwyer Dentist 730 Sunrise Avenue, #110, Roseville, CA 95661-4549 2006-10-25
1659936441 Wdwrosevillepllc Dentist 21055 E 12 Mile Rd, Roseville, MI 48066-2205 2019-05-07
1962888354 Pacharee Kulwattanaporn Dentist 18303 E 10 Mile Rd, Suite 150, Roseville, MI 48066-4988 2015-08-07
1851772362 Dental Specialists of Minnesota, Pllc Dentist 2200 County Road C W, Suite 2210, Roseville, MN 55113-2550 2015-06-11
1891933875 Edmond Kenneth Chow Dentist 2420 Professional Dr, Roseville, CA 95661-7773 2009-01-28
1194980284 Kevin J. O'neill, D.d.s., M.s.d., Inc. Dentist 10 Sierra Gate Plz, Suite #190, Roseville, CA 95678-6645 2008-07-28
1649397480 Kevin M O'dea Dentist 10 Sierra Gate Plz, Suite 190, Roseville, CA 95678-6645 2007-03-25
Find all providers in ROSEVILLE

Competitor

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City ROSEVILLE
Zip Code 95678

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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