AMANDA MARIE DUTRA RDA
NPI 1821176009
Dental Assistant in San Luis Obispo, CA

Active since November 02, 2006
1370 CHORRO ST, SAN LUIS OBISPO, CA 93401(805) 543-6535 Get Directions Write a Review

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

About Amanda Marie Dutra Rda NPPES

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

AMANDA MARIE DUTRA RDA (NPI 1821176009) is an individual dental assistant in San Luis Obispo, California, licensed in California (57717) and active in the NPI registry since November 2006.

NPPES Registry Identity

NPI1821176009
Entity TypeIndividualFemale
Primary Taxonomy126800000X
Provider Legal NameAMANDA MARIE DUTRACredential: RDA
Location Address1370 CHORRO STSan Luis Obispo, CA 93401
Mailing Address753 Corbett Cyn RdArroyo Grande, CA 93420 · (805) 710-4272
Sole ProprietorNo
Enumeration DateNovember 2, 2006
Last NPPES UpdateJuly 8, 2007
NPI 1821176009 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental AssistantDental Providers
Taxonomy Code126800000X
License Licensed in CA · 57717
Definition
An individual who may or may not have completed an accredited dental assisting education program and who aids the dentist in providing patient care services and performs other nonclinical duties in the dental office or other patient care facility. The scope of the patient care functions that may be legally delegated to the dental assistant varies based on the needs of the dentist the educational preparation of the dental assistant and state dental practice acts and regulations. Patient care services are provided under the supervision of a dentist. To avoid misleading the public, no occupational title other than dental assistant should be used to describe this dental auxiliary.
1370 CHORRO ST, San Luis Obispo, CA 93401

Other Providers at the Same Location NPPES 7

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

Internal Medicine (Cardiovascular Disease)
1370 CHORRO ST
SAN LUIS OBISPO, CA 93401
Dental Assistant
1370 CHORRO ST
SAN LUIS OBISPO, CA 93401
Dental Hygienist
1370 CHORRO ST
SAN LUIS OBISPO, CA 93401
Dentist (General Practice)
1370 CHORRO ST
SAN LUIS OBISPO, CA 93401
Dental Hygienist
1370 CHORRO ST
SAN LUIS OBISPO, CA 93401
Internal Medicine (Cardiovascular Disease)
1370 CHORRO ST
SAN LUIS OBISPO, CA 93401
Dental Assistant
1370 CHORRO ST
SAN LUIS OBISPO, CA 93401

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 Amanda Dutra's NPI number?

The NPI number for Amanda Dutra is 1821176009. It was assigned to this individual provider in the NPPES registry on November 2, 2006.

Where is Amanda Dutra located?

Amanda Dutra practices at 1370 Chorro St, San Luis Obispo, CA 93401. The listed phone number is (805) 543-6535.

What is Amanda Dutra's specialty?

The primary specialty registered for this NPI is Dental Assistant with taxonomy code 126800000X.

When was this NPI record last updated?

The NPPES record for Amanda Dutra 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.