Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Edgar D. Roque, DDS, Inc

Organization Dentist · NPI 1699077487

Edgar D. Roque, DDS, Inc provides Dentist services in Fresno, California. Licensed in California. Registered with an NPI since 2010.

Licensed in
CA
In the registry since
2010
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

420 W Shields Ave
Fresno, CA 93705-4107 Not confirmed with CMS for 15 years — call before visiting
Phone: (559) 412-4702
Fax: (559) 473-1475
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 55681 (CA)

Record details

NPI number1699077487
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Edgar Roque — Dentist/President · (559) 412-4702
NPI enumeratedNovember 30, 2010
Last updated in NPPESFebruary 15, 2011
Mailing address420 W. Shields Ave, Fresno, CA 93705-4107

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