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GRIGORY ROZENOVICH D.D.S.
NPI 1093891764
Dentist - General Practice in Santa Ana, CA

Active since October 27, 2006
3620 S. BRISTOL ST. SUITE 210, SANTA ANA, CA 92704(714) 549-1409(714) 549-2118 Get Directions Write a Review

NPPES record last updated: May 5, 2016. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grigory Rozenovich D.d.s. NPPES

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

GRIGORY ROZENOVICH D.D.S. (NPI 1093891764) is an individual general practice provider in Santa Ana, California, licensed in California (D40115) and active in the NPI registry since October 2006.

NPPES Registry Identity

NPI1093891764
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameGRIGORY ROZENOVICHCredential: D.D.S.
Location Address3620 S. BRISTOL ST. SUITE 210Santa Ana, CA 92704
Mailing Address3620 S. Bristol St. Suite 210Santa Ana, CA 92704 · (714) 549-1409 · Fax (714) 549-2118
Phone(714) 549-1409
Fax(714) 549-2118
Sole ProprietorYes
Enumeration DateOctober 27, 2006
Last NPPES UpdateMay 5, 2016
✔ NPI 1093891764 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Licenses✔ Licensed in CA · D40115✔ Licensed in CA · 40115
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.
3620 S. BRISTOL ST. SUITE 210, Santa Ana, CA 92704
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Accepted Insurance

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

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 Grigory Rozenovich's NPI number?

The NPI number for Grigory Rozenovich is 1093891764. It was assigned to this individual provider in the NPPES registry on October 27, 2006.

Where is Grigory Rozenovich located?

Grigory Rozenovich practices at 3620 S. Bristol St. Suite 210, Santa Ana, CA 92704. The listed phone number is (714) 549-1409.

What is Grigory Rozenovich's specialty?

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

What insurance does Grigory Rozenovich accept?

Health plans from Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma, Blue Cross and Blue Shield of Texas, HRI Dental & Vision and Humana and 2 other insurers list Grigory Rozenovich 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 Grigory Rozenovich was last updated on May 5, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.