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

Dr. Kimberly Centeno, DDS

Individual provider Dentist · NPI 1609971811

Dr. Kimberly Centeno, DDS is a Dentist in Mount Shasta, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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.

See every abbreviation used in this directory →

Practice location Address checks out

407 Pine St
Mount Shasta, CA 96067
Phone: (530) 918-9055
Fax: (530) 918-9059
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 52457 (CA)

Record details

NPI number1609971811
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedSeptember 13, 2006
Last updated in NPPESMarch 11, 2026
Certification dateMarch 11, 2026
Mailing address407 Pine St, Mount Shasta, CA 96067