National Provider Identifier Database

ANDREY ANTONENKO, DDS – NPI #1144672874
Endodontics

The branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions.


Contact Information

ANDREY ANTONENKO, DDS
10 SIERRA GATE PLZ STE 190
ROSEVILLE, CA95678-6647
Phone: 916-786-3303
Fax:
Website:
Specialty Taxonomy Code
* Endodontics 1223E0200X

* Indicates primary specialty

NPI Profile & details for ANDREY ANTONENKO

NPI Number 1144672874
Credentials DDS (Doctor of Dental Surgery)
Entity Individual
Enumeration date 07/06/2016
Last updated 11/06/2020 - About 6 years ago
Sole proprietor1 No
Identifiers
  • CA License #: 100314
Hospital affiliation n/a

1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

Reviews for ANDREY ANTONENKO, DDS

There are currently no reviews for ANDREY ANTONENKO, DDS


NPIdb - Home
v2.201