Individual provider · Type 1 NPI
Ivan Noel Casillas Rodriguez
General Practice Dentistry · Nuevo, CA
NPI number
1245136100
Active
Practice location
29616 Nuevo Rd
Nuevo, CA 92567-9201
Other practice locations
- 6348 Mission Blvd, Jurupa Valley, CA 92509-4115 · (951) 592-3453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| General Practice Dentistry Primary | 1223G0001X | 113613 (CA) |
General Practice Dentistry: 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.
Another provider at this address
About NPI 1245136100
Ivan Noel Casillas Rodriguez's National Provider Identifier is 1245136100, issued on Oct 16, 2026. The primary taxonomy on file is General Practice Dentistry (1223G0001X), and the practice location is in Nuevo, CA. The record was last updated on Oct 16, 2026.