Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Dr. Ethan Co, DDS

Individual provider Dentist · NPI 1699506154

Dr. Ethan Co, DDS is a Dentist in San Gabriel, California. Qualified in 2021, 5 years ago. Licensed in California.

Years since qualifying
5
Licensed in
CA
In the registry since
2024
What do these letters mean?
DDS — Doctor of Dental Surgery
A dentist. DDS and DMD are the same qualification — universities choose which title to award.

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Practice location Address checks out

416 W Las Tunas Dr Ste 107
San Gabriel, CA 91776-1236
Phone: (626) 872-6352
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 110234 (CA)

Record details

NPI number1699506154
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedAugust 8, 2024
Last updated in NPPESJuly 29, 2026
Certification dateJuly 29, 2026
Mailing address5049 Princess Anne Rd, La Canada, CA 91011-2424

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDENTIST
Also practisesORAL SURGERY
Medical schoolOTHER
Graduated 2021 (5 years in practice)
Accepts Medicare assignment Not indicated

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