INNOVATION DENTAL
NPI 1992064364
Dentist - General Practice in Stockton, CA

Active since May 04, 2012
702 PORTER AVE STE F, STOCKTON, CA 95207(209) 478-9648 Get Directions Write a Review

NPPES record last updated: May 4, 2012. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About INNOVATION DENTAL

This page provides the complete NPI Profile along with additional information for Innovation Dental, a provider established in Stockton, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1992064364 assigned on May 2012. The practitioner's primary taxonomy code is 1223G0001X with license number 46658 (CA). The provider is registered as an organization and their NPI record was last updated 14 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The provider's is doing business as Innovation Dental. The authorized official of this NPI record is Dr. Quan Vo Anh Nguyen Dds (Ceo/ Managing Dentist)

NPI
1992064364 Verify this NPI
Provider Legal Name
QUAN VO ANH NGUYEN DDS INC
Other Organization Name
INNOVATION DENTAL
Other Name Type
Doing Business As (3)
Entity Type
Organization
Location Address
702 PORTER AVE STE F STOCKTON, CA 95207
Location Phone
(209) 478-9648
Mailing Address
702 PORTER AVE STE F STOCKTON, CA 95207
Mailing Phone
(209) 478-9648
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-04-2012
Last Update Date
05-04-2012
Code Navigator

A dentist like Innovation Dental is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Dentist General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
46658
License State
CA
Taxonomy Description
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.

Group Taxonomy 193400000X SINGLE SPECIALTY GROUP

This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. QUAN VO ANH NGUYEN DDS

Authorized Official Title
CEO/ MANAGING DENTIST
Authorized Official Phone
(209) 478-9648

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Dentist
702 PORTER AVE STE F
STOCKTON, CA 95207

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1992064364, enumerated as an "organization" on May 04, 2012.

The provider is located at 702 PORTER AVE STE F STOCKTON, CA 95207 and the phone number is (209) 478-9648.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.