RONI DAWN DOUGLAS DDS
NPI 1598873432
Dentist - General Practice in San Rafael, CA

Active since August 29, 2006
920 NORTHGATE DR, SUITE 4, SAN RAFAEL, CA 94903(415) 491-1662(415) 491-0312 Get Directions Write a Review

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

About Roni Dawn Douglas Dds NPPES

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

RONI DAWN DOUGLAS DDS (NPI 1598873432) is an individual general practice provider in San Rafael, California, licensed in California (31030) and active in the NPI registry since August 2006.

NPPES Registry Identity

NPI1598873432
Entity TypeIndividualFemale
Primary Taxonomy1223G0001X
Provider Legal NameRONI DAWN DOUGLASCredential: DDS
Location Address920 NORTHGATE DR, SUITE 4San Rafael, CA 94903-3429
Mailing Address20 Circle RdSan Rafael, CA 94903-3821 · (415) 499-4670
Fax(415) 491-0312
Sole ProprietorYes
Enumeration DateAugust 29, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1598873432 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 · 31030
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.
920 NORTHGATE DR, San Rafael, CA 94903

Other Providers at the Same Location NPPES 9

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

Dentist (Pediatric Dentistry)
920 NORTHGATE DR
SAN RAFAEL, CA 94903
Dentist
920 NORTHGATE DR, SUITE 3
SAN RAFAEL, CA 94903
Pediatrics
920 NORTHGATE DR, SUITE #9
SAN RAFAEL, CA 94903
Family Medicine
920 NORTHGATE DR, SUITE 6
SAN RAFAEL, CA 94903
Dentist (Orthodontics and Dentofacial Orthopedics)
920 NORTHGATE DR, SUITE #8
SAN RAFAEL, CA 94903
Clinic/Center (Dental)
920 NORTHGATE DR
SAN RAFAEL, CA 94903
Clinic/Center
920 NORTHGATE DR, SUITE 6
SAN RAFAEL, CA 94903
Acupuncturist
920 NORTHGATE DR, SUITE 5
SAN RAFAEL, CA 94903

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 Roni Douglas's NPI number?

The NPI number for Roni Douglas is 1598873432. It was assigned to this individual provider in the NPPES registry on August 29, 2006.

Where is Roni Douglas located?

Roni Douglas practices at 920 Northgate Dr Suite 4, San Rafael, CA 94903. The listed phone number is (415) 491-1662.

What is Roni Douglas's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Roni Douglas 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.