Individual provider · Type 1 NPI
Reynaldo David Rivera, MD, DDS
Oral and Maxillofacial Surgery (Dentist) · Camarillo, CA
NPI number
1790902989
Active
Practice location
67 S Glenn Dr
Camarillo, CA 93010-7944
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dentist | 122300000X | 2901019099 (MI) |
| Oral and Maxillofacial Surgery (Dentist) | 1223S0112X | 2901019099 (MI) |
| Oral and Maxillofacial Surgery (Dentist) Primary | 1223S0112X | DDS106044 (CA) |
Oral and Maxillofacial Surgery (Dentist): The specialty of dentistry which includes the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region.
About NPI 1790902989
Reynaldo David Rivera, MD, DDS's National Provider Identifier is 1790902989, issued on Apr 19, 2007. The primary taxonomy on file is Oral and Maxillofacial Surgery (Dentist) (1223S0112X), and the practice location is in Camarillo, CA. The record was last updated on May 31, 2022.