DR. ELLEEN MYRE ZOLETA AGUSTIN DDS
NPI 1104423698
Dentist - General Practice in Arcadia, CA

Q: What is Elleen Myre Agustin's NPI number?

The NPI number for Elleen Myre Agustin is 1104423698. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Q: What is Elleen Myre Agustin's specialty?

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

Active since October 07, 2020

103 LAS TUNAS DR, ARCADIA, CA 91007(626) 445-2903 Get Directions Write a Review

NPPES record last updated: October 7, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Dr. Elleen Myre Zoleta Agustin Dds NPPES

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

DR. ELLEEN MYRE ZOLETA AGUSTIN DDS (NPI 1104423698) is an individual general practice provider in Arcadia, California, licensed in California (105628) and active in the NPI registry since October 2020.

NPPES Registry Identity

NPI1104423698

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ELLEEN MYRE ZOLETA AGUSTINCredential: DDS

Location Address103 LAS TUNAS DRArcadia, CA 91007-8550

Mailing Address7170 N Muscatel AveSan Gabriel, CA 91775-1232 · (808) 321-5768

Phone(626) 445-2903

Sole ProprietorNo

Enumeration DateOctober 7, 2020

NPPES CertifiedOctober 7, 2020

✔ NPI 1104423698 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 · 105628

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.

103 LAS TUNAS DR, Arcadia, CA 91007

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Other Providers at the Same Location NPPES

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

DR. LARRY CHI-TSENG TUAN LARRY TUAN

Dentist (Periodontics)

103 LAS TUNAS DR
ARCADIA, CA 91007

Los Angeles County (626) 445-2903

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 Elleen Myre Agustin's NPI number?

The NPI number for Elleen Myre Agustin is 1104423698. It was assigned to this individual provider in the NPPES registry on October 7, 2020.

Where is Elleen Myre Agustin located?

Elleen Myre Agustin practices at 103 Las Tunas Dr, Arcadia, CA 91007. The listed phone number is (626) 445-2903.

What is Elleen Myre Agustin's specialty?

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

When was this NPI record last updated?

The NPPES record for Elleen Myre Agustin was last updated on October 7, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.