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

Individual provider General Practice Dentistry · NPI 1962014282

Geoffrey Glen Pena, DMD is a General Practice Dentistry in Tracy, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2020
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

1401 W 11th St Ste A
Tracy, CA 95376-3702
Phone: (209) 830-7477
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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 105245 (CA)

Record details

NPI number1962014282
Entity typeIndividual (Type 1)
GenderMale
Credentials DMD
Sole proprietorYes
NPI enumeratedAugust 18, 2020
Last updated in NPPESAugust 18, 2020
Certification dateAugust 18, 2020
Mailing address1401 W 11th St Ste A, Tracy, CA 95376-3702

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