MR. AMOS BENJAMIN ACEVEDO DDS
NPI 1609904374
Dentist in San Joaquin, CA

Active since March 02, 2007
21890 COLORADO AVE., SAN JOAQUIN, CA 93660(559) 693-2467(559) 693-2398 Get Directions Write a Review

NPPES record last updated: July 8, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mr. Amos Benjamin Acevedo Dds NPPES

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

MR. AMOS BENJAMIN ACEVEDO DDS (NPI 1609904374) is an individual dentist in San Joaquin, California, licensed in California (27943) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1609904374
Entity TypeIndividualMale
Primary Taxonomy122300000X
Provider Legal NameMR. AMOS BENJAMIN ACEVEDOCredential: DDS
Location Address21890 COLORADO AVE.San Joaquin, CA 93660
Mailing Address774 Cuesta StMorro Bay, CA 93442-1783 · (805) 704-3591
Fax(559) 693-2398
Sole ProprietorYes
Enumeration DateMarch 2, 2007
Last NPPES UpdateJuly 8, 2007
NPI 1609904374 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 27943
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.
21890 COLORADO AVE., San Joaquin, CA 93660

Other Identifiers 1

MedicaidFHC03875FCA

Other Providers at the Same Location NPPES 2

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

Dentist (Dental Public Health)
21890 COLORADO AVE.
SAN JOAQUIN, CA 93660
Physician Assistant (Medical)
21890 COLORADO AVE.
SAN JOAQUIN, CA 93660

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 Amos Acevedo's NPI number?

The NPI number for Amos Acevedo is 1609904374. It was assigned to this individual provider in the NPPES registry on March 2, 2007.

Where is Amos Acevedo located?

Amos Acevedo practices at 21890 Colorado Ave., San Joaquin, CA 93660. The listed phone number is (559) 693-2467.

What is Amos Acevedo'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 Amos Acevedo 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.