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JENNIE IVON GODOY
NPI 1003441130
Dental Assistant in Pomona, CA

Active since March 09, 2020
1646 FARNAM PL, POMONA, CA 91766(909) 242-8543 Get Directions Write a Review

NPPES record last updated: March 9, 2020. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Jennie Ivon Godoy NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNIE IVON GODOY (NPI 1003441130) is an individual dental assistant in Pomona, California, licensed in California (RDA94371) and active in the NPI registry since March 2020.

NPPES Registry Identity

NPI1003441130
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameJENNIE IVON GODOY
Location Address1646 FARNAM PLPomona, CA 91766-5331
Mailing Address763 Rio Rancho Rd Ste 120Pomona, CA 91766-7015 · (909) 766-1922
Phone(909) 242-8543
Sole ProprietorNo
Enumeration DateMarch 9, 2020
NPPES CertifiedMarch 9, 2020
✔ NPI 1003441130 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License✔ Licensed in CA · RDA94371
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
1646 FARNAM PL, Pomona, CA 91766
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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennie Godoy's NPI number?

The NPI number for Jennie Godoy is 1003441130. It was assigned to this individual provider in the NPPES registry on March 9, 2020.

Where is Jennie Godoy located?

Jennie Godoy practices at 1646 Farnam Pl, Pomona, CA 91766. The listed phone number is (909) 242-8543.

What is Jennie Godoy's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Jennie Godoy was last updated on March 9, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.