Active NPIIndividual provider

Keith B Aguilera, DDS

Dentist in San Diego, California

NPI Number1215074836
Practice location
995 Gateway Center Way, Suite 301, San Diego, CA 92102-4500
Fax
619-263-9353
Last updated
July 8, 2007

Keith Brian Aguilera is a Dentist based in San Diego, CA. Keith Brian Aguilera practices in San Diego, CA and has the professional credentials of DDS. The NPI Number for Keith Brian Aguilera is 1215074836 and holds a License No. 25113 (CA). The current practice location address for Keith Brian Aguilera is 995 Gateway Center Way, Suite 301, San Diego, CA 92102-4500 and can be reached out via phone at 619-263-6648 and via fax at 619-263-9353.

Provider Profile Details

NPI Number
1215074836
Provider Name
Keith Brian Aguilera
Credential
DDS
Provider Entity Type
Individual
Gender
Male
Address
995 Gateway Center Way, Suite 301, San Diego, CA 92102-4500
Phone Number
619-263-6648
Fax Number
619-263-9353
Primary Taxonomy
Dentist · 122300000X
Sole Proprietor
No
Provider Enumeration Date
January 31, 2007
Last Update Date
July 8, 2007
NPI Status
Active

Provider Business Practice Location Address Details

Address
995 Gateway Center Way
Suite 301
San Diego, CA 92102-4500
Zip
92102-4500
Phone Number
619-263-6648
Fax Number
619-263-9353
San Diego, CA 92102Get directions →

Provider Business Mailing Address Details

Address
995 Gateway Center Way
Suite 301
San Diego, CA 92102-4500
City
San Diego
State
CA
Zip
92102-4500
Phone Number
619-263-6648
Fax Number
619-263-9353

License Information

License Number
25113
License State
CA
Taxonomy
Dentist · 122300000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Keith B Aguilera, DDS?

The NPI number of Keith B Aguilera, DDS is 1215074836. It was assigned on January 31, 2007 and is currently active in the NPPES registry.

What is the specialty of Keith B Aguilera, DDS?

Keith B Aguilera, DDS is registered under the primary taxonomy Dentist (code 122300000X), licensed in CA under license number 25113.

Where does Keith B Aguilera, DDS practice?

The practice location is 995 Gateway Center Way, Suite 301, San Diego, CA 92102-4500. The office can be reached at 619-263-6648 (phone) or 619-263-9353 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1215074836 directly on the NPPES registry website.

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