DR. JONATHAN FILLBACH X DDS
NPI 1578891594
Dentist in Petaluma, CA

Q: What is Jonathan Fillbach's NPI number?

The NPI number for Jonathan Fillbach is 1578891594. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Q: What is Jonathan Fillbach's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

Q: When was this NPI record last updated?

The NPPES record for Jonathan Fillbach was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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 December 02, 2009

12 W EL ROSE DR, PETALUMA, CA 94952(707) 763-7229 Get Directions Write a Review

NPPES record last updated: December 2, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Jonathan Fillbach X Dds NPPES

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

DR. JONATHAN FILLBACH X DDS (NPI 1578891594) is an individual dentist in Petaluma, California, licensed in California (22728) and active in the NPI registry since December 2009.

NPPES Registry Identity

NPI1578891594

Entity TypeIndividualMale

Primary Taxonomy122300000X

Provider Legal NameDR. JONATHAN FILLBACH XCredential: DDS

Location Address12 W EL ROSE DRPetaluma, CA 94952-4023

Mailing Address12 W El Rose DrPetaluma, CA 94952-4023

Phone(707) 763-7229

Sole ProprietorYes

Enumeration DateDecember 2, 2009

✔ NPI 1578891594 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers

Taxonomy Code122300000X

License✔ Licensed in CA · 22728

Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

12 W EL ROSE DR, Petaluma, CA 94952

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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 Jonathan Fillbach's NPI number?

The NPI number for Jonathan Fillbach is 1578891594. It was assigned to this individual provider in the NPPES registry on December 2, 2009.

Where is Jonathan Fillbach located?

Jonathan Fillbach practices at 12 W El Rose Dr, Petaluma, CA 94952. The listed phone number is (707) 763-7229.

What is Jonathan Fillbach's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Jonathan Fillbach was last updated on December 2, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.