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DR. OTTO RAUL ALONZO DOMINGUEZ D.D.S.
NPI 1164636270
Dentist - General Practice in Clovis, CA

Active since May 09, 2007
145 SHAW AVE, SUITE B1-B2, CLOVIS, CA 93612(559) 325-2175(559) 325-2175 Get Directions Write a Review

NPPES record last updated: March 21, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Dr. Otto Raul Alonzo Dominguez D.d.s. NPPES

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

DR. OTTO RAUL ALONZO DOMINGUEZ D.D.S. (NPI 1164636270) is an individual general practice provider in Clovis, California, licensed in California (50719) and active in the NPI registry since May 2007.

NPPES Registry Identity

NPI1164636270
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameDR. OTTO RAUL ALONZO DOMINGUEZCredential: D.D.S.
Location Address145 SHAW AVE, SUITE B1-B2Clovis, CA 93612-3841
Mailing Address145 Shaw Ave, Suite B1-b2Clovis, CA 93612-3841 · (559) 325-2175 · Fax (559) 325-2175
Phone(559) 325-2175
Fax(559) 325-2175
Sole ProprietorYes
Enumeration DateMay 9, 2007
Last NPPES UpdateMarch 21, 2017
✔ NPI 1164636270 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 · 50719
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.
145 SHAW AVE, Clovis, CA 93612
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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, BEST Life, Blue Cross and Blue Shield of Montana and more.Insurance ›

Other Providers at the Same Location NPPES 4

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

MR. KEVIN ANDREW BROGAN MPT ATC
Physical Therapist
145 SHAW AVE, SUITE A
CLOVIS, CA 93612
Fresno County (559) 299-2244
MR. KEVIN CHARLES HUGHES PT
Physical Therapist
145 SHAW AVE, SUITE A
CLOVIS, CA 93612
Fresno County (559) 299-2244
OTTO R. ALONZO, D.D.S., INC.
Clinic/Center (Dental)
145 SHAW AVE, SUITE B2
CLOVIS, CA 93612
Fresno County (559) 325-2175
THEODORE MELLO
Physical Therapist
145 SHAW AVE, SUITE A
CLOVIS, CA 93612
Fresno County (559) 299-2244

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 Otto Alonzo Dominguez's NPI number?

The NPI number for Otto Alonzo Dominguez is 1164636270. It was assigned to this individual provider in the NPPES registry on May 9, 2007.

Where is Otto Alonzo Dominguez located?

Otto Alonzo Dominguez practices at 145 Shaw Ave Suite B1-B2, Clovis, CA 93612. The listed phone number is (559) 325-2175.

What is Otto Alonzo Dominguez's specialty?

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

What insurance does Otto Alonzo Dominguez accept?

Health plans from Anthem Blue Cross and Blue Shield, BEST Life, Blue Cross and Blue Shield of Montana, Blue Cross and Blue Shield of Oklahoma and Blue Cross and Blue Shield of Texas and 5 other insurers list Otto Alonzo Dominguez 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 Otto Alonzo Dominguez was last updated on March 21, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.