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HACIENDA DENTAL, INC
NPI 1619126398
Dentist in Pleasanton, CA

Active since September 17, 2008
5674 STONERIDGE DR, SUITE 111, PLEASANTON, CA 94588(925) 734-0104(924) 734-0489 Get Directions Write a Review

NPPES record last updated: September 17, 2008. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Hacienda Dental, Inc NPPES

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

HACIENDA DENTAL, INC (NPI 1619126398) is a healthcare organization registered as a dentist in Pleasanton, California and active in the NPI registry since September 2008. The organization lists Wilson Myers, Owner/doctor, as its authorized official.

NPPES Registry Identity

NPI1619126398
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameHACIENDA DENTAL, INC
Location Address5674 STONERIDGE DR, SUITE 111Pleasanton, CA 94588-8500
Mailing Address5674 Stoneridge Dr, Suite 111Pleasanton, CA 94588-8500 · (925) 734-0104 · Fax (924) 734-0489
Phone(925) 734-0104
Fax(924) 734-0489
Organization SubpartNo
Authorized OfficialWilson MyersOwner/doctor · (925) 734-0104
Enumeration DateSeptember 17, 2008
✔ NPI 1619126398 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 24840
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.
5674 STONERIDGE DR, Pleasanton, CA 94588
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Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES 20

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

ALEJANDRA GUERRERO
Counselor
5674 STONERIDGE DR, STE 116
PLEASANTON, CA 94588
Alameda County (925) 520-0005
HIAWATHA HARRIS, M.D., INC.
Psychologist
5674 STONERIDGE DR, SUITE 205
PLEASANTON, CA 94588
Alameda County (925) 520-0005
ERIN FREY
Counselor
5674 STONERIDGE DR, 116
PLEASANTON, CA 94588
Alameda County (925) 520-0005
LIZYKUTTY THOMAS
Registered Nurse
5674 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 520-0005
TANIKKA WILLIAMS
Counselor
5674 STONERIDGE DR, 207
PLEASANTON, CA 94588
Alameda County (925) 520-0005
ELENA SIOW R.N.
Registered Nurse (Psychiatric/Mental Health)
5674 STONERIDGE DR
PLEASANTON, CA 94588
Alameda County (925) 520-0005
KRISTINA ANTAKI
Counselor
5674 STONERIDGE DR, # 116
PLEASANTON, CA 94588
Alameda County (925) 520-0005
LANE SMITH
Marriage & Family Therapist
5674 STONERIDGE DR, SUITE 205
PLEASANTON, CA 94588
Alameda County (925) 520-0005

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 Hacienda Dental, Inc's NPI number?

The NPI number for Hacienda Dental, Inc is 1619126398. It was assigned to this organization in the NPPES registry on September 17, 2008.

Where is Hacienda Dental, Inc located?

Hacienda Dental, Inc is located at 5674 Stoneridge Dr Suite 111, Pleasanton, CA 94588. The listed phone number is (925) 734-0104.

What is Hacienda Dental, Inc'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 Hacienda Dental, Inc was last updated on September 17, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.