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

Justin Leroy Bermudez

Individual provider Student in an Organized Health Care Education/Training Program · NPI 1740978246

Justin Leroy Bermudez is a Student in an Organized Health Care Education/Training Program in Sacramento, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2023
Specialties on file
2
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Practice location Address checks out

630 Alhambra Blvd
Sacramento, CA 95816-3806
Phone: (916) 201-0074
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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 DDS109747 (CA)
Student in an Organized Health Care Education/Training Program Taxonomy 390200000X (CA)

Record details

NPI number1740978246
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorYes
NPI enumeratedApril 24, 2023
Last updated in NPPESApril 21, 2024
Certification dateApril 5, 2024

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