Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Erwin Tamayo Carracedo, DMD

Individual provider General Practice Dentistry · NPI 1164625075

Dr. Erwin Tamayo Carracedo, DMD is a General Practice Dentistry in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2007
What do these letters mean?
DMD — Doctor of Dental Medicine
A dentist. Identical training and licensing to a DDS.

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Practice location Address checks out

1331 Guerneville Rd Ste G
Santa Rosa, CA 95403-4162
Phone: (650) 742-9092
Fax: (650) 742-9093
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 40417 (CA)

Record details

NPI number1164625075
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJune 7, 2007
Last updated in NPPESMarch 29, 2010

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