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

Individual provider Periodontics · NPI 1174722003

Dr. Jerry O. Humeniuk, DMD is a Periodontics in San Francisco, 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

500 Sutter St Ste 815
San Francisco, CA 94102-1107
Phone: (415) 398-3957
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X · Licence 28332 (CA)

Record details

NPI number1174722003
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedJuly 11, 2007
Last updated in NPPESJanuary 20, 2017

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