Individual provider · Type 1 NPI

Jerry O. Humeniuk, DMD

Periodontics · San Francisco, CA

NPI number 1174722003 Active

Practice location

500 Sutter St, Suite 815
San Francisco, CA 94102-1107

Specialties and licenses

TaxonomyCodeLicense
Periodontics Primary 1223P0300X28332 (CA)

Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

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About NPI 1174722003

Jerry O. Humeniuk, DMD's National Provider Identifier is 1174722003, issued on Jul 11, 2007. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in San Francisco, CA. The record was last updated on Jan 20, 2017.