DR. NATALIE KRISTINE PROVENZANO D.D.S.
NPI 1609905413
Dentist - General Practice in San Jose, CA

Q: What is Natalie Provenzano's NPI number?

The NPI number for Natalie Provenzano is 1609905413. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Q: What is Natalie Provenzano's specialty?

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

Active since March 05, 2007

6020 HELLYER AVE., SUITE 100, SAN JOSE, CA 95138(408) 226-2542(408) 226-1948 Get Directions Write a Review

NPPES record last updated: January 13, 2022. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Dr. Natalie Kristine Provenzano D.d.s. NPPES

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

DR. NATALIE KRISTINE PROVENZANO D.D.S. (NPI 1609905413) is an individual general practice provider in San Jose, California, licensed in California (49869) and active in the NPI registry since March 2007.

NPPES Registry Identity

NPI1609905413

Entity TypeIndividualFemale

Primary Taxonomy1223G0001X

Provider Legal NameDR. NATALIE KRISTINE PROVENZANOCredential: D.D.S.

Location Address6020 HELLYER AVE., SUITE 100San Jose, CA 95138

Mailing Address6020 Hellyer Ave., Suite 100San Jose, CA 95138 · (408) 226-2542 · Fax (408) 226-1948

Phone(408) 226-2542

Fax(408) 226-1948

Sole ProprietorYes

Enumeration DateMarch 5, 2007

Last NPPES UpdateJanuary 13, 2022

NPPES CertifiedJanuary 13, 2022

✔ NPI 1609905413 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 · 49869

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.

6020 HELLYER AVE., San Jose, CA 95138

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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 Natalie Provenzano's NPI number?

The NPI number for Natalie Provenzano is 1609905413. It was assigned to this individual provider in the NPPES registry on March 5, 2007.

Where is Natalie Provenzano located?

Natalie Provenzano practices at 6020 Hellyer Ave. Suite 100, San Jose, CA 95138. The listed phone number is (408) 226-2542.

What is Natalie Provenzano'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 Natalie Provenzano was last updated on January 13, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.