DR. RENZ ANTHONY TAN ANTONIO DDS
NPI 1306407267
Dentist - Prosthodontics in San Diego, CA

Q: What is Renz Anthony Antonio's NPI number?

The NPI number for Renz Anthony Antonio is 1306407267. It was assigned to this individual provider in the NPPES registry on June 21, 2019.

Q: What is Renz Anthony Antonio's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Prosthodontics, with taxonomy code 1223P0700X.

Active since June 21, 2019

34800 BOB WILSON DR, SAN DIEGO, CA 92134(619) 532-8600 Get Directions Write a Review

NPPES record last updated: August 12, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2024, Jul 12, 2024, Aug 8, 2021 and 1 more (4 updates tracked since 2019).

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About Dr. Renz Anthony Tan Antonio Dds NPPES

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

DR. RENZ ANTHONY TAN ANTONIO DDS (NPI 1306407267) is an individual prosthodontics provider in San Diego, California, licensed in California (103836) and active in the NPI registry since June 2019. He maintains 2 additional practice locations.

NPPES Registry Identity

NPI1306407267

Entity TypeIndividualMale

Primary Taxonomy1223P0700X

Provider Legal NameDR. RENZ ANTHONY TAN ANTONIOCredential: DDS

Location Address34800 BOB WILSON DRSan Diego, CA 92134-2111

Mailing Address70 Empire CtMountain View, CA 94040-1591

Phone(619) 532-8600

Sole ProprietorNo

Enumeration DateJune 21, 2019

Last NPPES UpdateAugust 12, 20244 updates tracked since enumeration

NPPES CertifiedAugust 12, 2024

✔ NPI 1306407267 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · ProsthodonticsDental Providers

Taxonomy Code1223P0700X

License✔ Licensed in CA · 103836

Definition

That branch of dentistry pertaining to the restoration and maintenance of oral functions, comfort, appearance and health of the patient by the restoration of natural teeth and/or the replacement of missing teeth and contiguous oral and maxillofacial tissues with artificial substitutes.

Also ListedDentistTaxonomy 122300000X · License 103836 (CA)

34800 BOB WILSON DR, San Diego, CA 92134

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Secondary Practice Locations 2

Location 1620 John Paul Jones CirPortsmouth, VA 23708-2111 · Phone (757) 953-2711

Location 28955 Wood Rd Bldg 1Bethesda, MD 20889-2111 · Phone (301) 295-1550

Other Providers at the Same Location NPPES 20

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

LORENA MARIE FUJII N.P.

Nurse Practitioner (Pediatrics)