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MRS. TRACY SISE COSA
NPI 1477694628
Dental Assistant in Modesto, CA

Active since February 09, 2007
1213 COFFEE RD STE D, MODESTO, CA 95355(209) 522-5238(209) 522-4703 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Mrs. Tracy Sise Cosa NPPES

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

MRS. TRACY SISE COSA (NPI 1477694628) is an individual dental assistant in Modesto, California and active in the NPI registry since February 2007.

NPPES Registry Identity

NPI1477694628
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameMRS. TRACY SISECredential: COSA
Location Address1213 COFFEE RD STE DModesto, CA 95355-4229
Mailing Address1213 Coffee Rd Ste DModesto, CA 95355-4229 · (209) 522-5238 · Fax (209) 522-4703
Phone(209) 522-5238
Fax(209) 522-4703
Sole ProprietorYes
Enumeration DateFebruary 9, 2007
Last NPPES UpdateJuly 8, 2007
✔ NPI 1477694628 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
1213 COFFEE RD STE D, Modesto, CA 95355
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Other Providers at the Same Location NPPES 5

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

MRS. ANGELICA CRUZ COSA
Dental Assistant
1213 COFFEE RD STE D
MODESTO, CA 95355
Stanislaus County (209) 522-5238
GOPIKA GANGUPANTULA MD
Family Medicine
1213 COFFEE RD STE D
MODESTO, CA 95355
Stanislaus County (209) 497-4677
MISS KRYSTAL LANE
Dental Assistant
1213 COFFEE RD STE D
MODESTO, CA 95355
Stanislaus County (209) 522-5238
GOPIKA GANGUPANTULA, MD, INC.
Family Medicine
1213 COFFEE RD STE D
MODESTO, CA 95355
Stanislaus County (209) 497-4677
MRS. KATHLEEN D WRIGHT COSA
Dental Assistant
1213 COFFEE RD STE D
MODESTO, CA 95355
Stanislaus County (209) 522-5238

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 Tracy Sise's NPI number?

The NPI number for Tracy Sise is 1477694628. It was assigned to this individual provider in the NPPES registry on February 9, 2007.

Where is Tracy Sise located?

Tracy Sise practices at 1213 Coffee Rd Ste D, Modesto, CA 95355. The listed phone number is (209) 522-5238.

What is Tracy Sise's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Tracy Sise was last updated on July 8, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.