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

Dr. Renz Anthony Tan Antonio, DDS

Individual provider Dentist · NPI 1306407267

Dr. Renz Anthony Tan Antonio, DDS is a Dentist in San Diego, California. Works from 3 locations. Licensed in California.

Licensed in
CA
In the registry since
2019
Specialties on file
2
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 →

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Practice location Address checks out

34800 Bob Wilson Dr
San Diego, CA 92134-2111
Phone: (619) 532-8600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (2)

  • 8955 Wood Rd Bldg 1, Bethesda, MD 20889-2111 — (301) 295-1550
  • 620 John Paul Jones Cir, Portsmouth, VA 23708-2111 — (757) 953-2711

Specialties & licences

Prosthodontics (primary) Taxonomy 1223P0700X · Licence 103836 (CA)
Dentist Taxonomy 122300000X · Licence 103836 (CA)

Record details

NPI number1306407267
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedJune 21, 2019
Last updated in NPPESAugust 12, 2024
Certification dateAugust 12, 2024

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