MURIJONO REKSOATMODJO DDS
NPI 1598811481
Dentist - General Practice in Felton, CA

Active since January 25, 2007
6230 GUSHEE ST, FELTON, CA 95018(831) 335-5324(831) 335-5928 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Murijono Reksoatmodjo Dds NPPES

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

MURIJONO REKSOATMODJO DDS (NPI 1598811481) is an individual general practice provider in Felton, California, licensed in California (DDS 36825) and active in the NPI registry since January 2007.

NPPES Registry Identity

NPI1598811481
Entity TypeIndividualMale
Primary Taxonomy1223G0001X
Provider Legal NameMURIJONO REKSOATMODJOCredential: DDS
Location Address6230 GUSHEE STFelton, CA 95018-9129
Mailing Address6230 Gushee StFelton, CA 95018-9129 · (831) 335-5324 · Fax (831) 335-5928
Fax(831) 335-5928
Sole ProprietorYes
Enumeration DateJanuary 25, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1598811481 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 · DDS 36825
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.

6230 GUSHEE ST, Felton, CA 95018

Accepted Insurance

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1598811481, enumerated as an "individual" on January 25, 2007.

The provider is located at 6230 GUSHEE ST FELTON, CA 95018 and the phone number is (831) 335-5324.

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

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