RESURRECCION MEDINA OLIVERIA D.D.S.
NPI 1417088113
Dentist - General Practice in Chula Vista, CA

Active since March 07, 2007
1072A 3RD AVE, CHULA VISTA, CA 91911(619) 425-5323 Get Directions Write a Review

NPPES record last updated: July 9, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Resurreccion Medina Oliveria D.d.s. NPPES

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

RESURRECCION MEDINA OLIVERIA D.D.S. (NPI 1417088113) is an individual general practice provider in Chula Vista, California, licensed in California (49622) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1417088113
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameRESURRECCION MEDINA OLIVERIACredential: D.D.S.
Location Address1072A 3RD AVEChula Vista, CA 91911-2009
Mailing Address1000 Red Granite RdChula Vista, CA 91913-2854 · (619) 656-9970
Sole ProprietorYes
Enumeration DateMarch 7, 2007
Last NPPES UpdateJuly 9, 2007
NPI 1417088113 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 · 49622
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.

1072A 3RD AVE, Chula Vista, CA 91911

Other Identifiers 1

MedicaidD49622CA

Accepted Insurance

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
1072A 3RD AVE
CHULA VISTA, CA 91911

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1417088113, enumerated as an "individual" on March 07, 2007.

The provider is located at 1072A 3RD AVE CHULA VISTA, CA 91911 and the phone number is (619) 425-5323.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.

The provider might be accepting Accepts: Blue Cross and Blue Shield of Montana, Blue Cross. Please consult your insurance carrier or call the provider to verify.