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DR. MOUTAZ KOTROB DDS
NPI 1043406283
Dentist - General Practice in South San Francisco, CA

Active since September 21, 2007
1133 EL CAMINO REAL STE 5, # B -304, SOUTH SAN FRANCISCO, CA 94080(650) 244-9928(650) 244-9284 Get Directions Write a Review

NPPES record last updated: March 12, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Dr. Moutaz Kotrob Dds NPPES

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

DR. MOUTAZ KOTROB DDS (NPI 1043406283) is an individual general practice provider in South San Francisco, California, licensed in California (55981) and active in the NPI registry since September 2007.

NPPES Registry Identity

NPI1043406283
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. MOUTAZ KOTROBCredential: DDS
Location Address1133 EL CAMINO REAL STE 5, # B -304South San Francisco, CA 94080-3288
Mailing Address1133 El Camino Real Ste 5, # B -304South San Francisco, CA 94080-3288
Phone(650) 244-9928
Fax(650) 244-9284
Sole ProprietorYes
Enumeration DateSeptember 21, 2007
Last NPPES UpdateMarch 12, 2012
✔ NPI 1043406283 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 55981
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
1133 EL CAMINO REAL STE 5, South San Francisco, CA 94080
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Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and more.Insurance ›

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

PURE SMILE DENTAL GROUP
Clinic/Center (Dental)
1133 EL CAMINO REAL STE 5
SOUTH SAN FRANCISCO, CA 94080
San Mateo County (650) 244-9928

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 Moutaz Kotrob's NPI number?

The NPI number for Moutaz Kotrob is 1043406283. It was assigned to this individual provider in the NPPES registry on September 21, 2007.

Where is Moutaz Kotrob located?

Moutaz Kotrob practices at 1133 El Camino Real Ste 5 # B -304, South San Francisco, CA 94080. The listed phone number is (650) 244-9928.

What is Moutaz Kotrob's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

What insurance does Moutaz Kotrob accept?

Health plans from Anthem Blue Cross and Blue Shield, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas and Florida Combined Life and 2 other insurers list Moutaz Kotrob as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Moutaz Kotrob was last updated on March 12, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.