DR. ERLINE DIONA POERWANTO D.D.S
NPI 1194152736
Dentist - General Practice in San Francisco, CA

Q: What is Erline Poerwanto's NPI number?

The NPI number for Erline Poerwanto is 1194152736. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Q: What is Erline Poerwanto's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Erline Poerwanto was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.

Active since September 27, 2013

2155 WEBSTER STREET, SAN FRANCISCO, CA 94115(209) 910-3505 Get Directions Write a Review

NPPES record last updated: September 27, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Erline Diona Poerwanto D.d.s NPPES

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

DR. ERLINE DIONA POERWANTO D.D.S (NPI 1194152736) is an individual general practice provider in San Francisco, California, licensed in California (62687) and active in the NPI registry since September 2013.

NPPES Registry Identity

NPI1194152736

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. ERLINE DIONA POERWANTOCredential: D.D.S

Location Address2155 WEBSTER STREETSan Francisco, CA 94115

Mailing AddressPo Box 7194Stockton, CA 95267-0194

Phone(209) 910-3505

Sole ProprietorNo

Enumeration DateSeptember 27, 2013

✔ NPI 1194152736 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · General PracticeDental Providers

Taxonomy Code1223G0001X

License✔ Licensed in CA · 62687

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.

Also ListedDentistTaxonomy 122300000X · License 62687 (CA)

2155 WEBSTER STREET, San Francisco, CA 94115

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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 Erline Poerwanto's NPI number?

The NPI number for Erline Poerwanto is 1194152736. It was assigned to this individual provider in the NPPES registry on September 27, 2013.

Where is Erline Poerwanto located?

Erline Poerwanto practices at 2155 Webster Street, San Francisco, CA 94115. The listed phone number is (209) 910-3505.

What is Erline Poerwanto's specialty?

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

What insurance does Erline Poerwanto 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 and Humana list Erline Poerwanto 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 Erline Poerwanto was last updated on September 27, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.