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

Jesus Rafael Castillo, DDS

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1174103667

Jesus Rafael Castillo, DDS is a Student in an Organized Health Care Education/Training Program in Modesto, California. Licensed in California. Registered with an NPI since 2021.

Licensed in
CA
In the registry since
2021
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.

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Practice location Address checks out

3125 Coffee Rd Ste 1
Modesto, CA 95355-1768
Phone: (209) 529-2726
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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 DDS109655 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X

Record details

NPI number1174103667
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedApril 9, 2021
Last updated in NPPESApril 8, 2025
Certification dateApril 8, 2025
Mailing address3125 Coffee Rd Ste 1, Modesto, CA 95355-1768

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