Individual provider · Type 1 NPI

Kimberly Centeno, DDS

Dentist · Mount Shasta, CA

NPI number 1609971811 Active

Practice location

407 Pine St
Mount Shasta, CA 96067

Fax (530) 918-9059

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X52457 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1609971811

Kimberly Centeno, DDS's National Provider Identifier is 1609971811, issued on Sep 13, 2006. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Mount Shasta, CA. The record was last updated on Mar 11, 2026.