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

Ricuccio A. Negom, DDS

Individual provider Dentist · NPI 1124208152

Ricuccio A. Negom, DDS is a Dentist in San Luis Obispo, California. Licensed in California. Registered with an NPI since 2007.

Licensed in
CA
In the registry since
2007
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

735 Tank Farm Rd Ste 170
San Luis Obispo, CA 93401-7071
Phone: (805) 549-9000
Fax: (805) 549-9004
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Dentist (primary) Taxonomy 122300000X · Licence 55065 (CA)

Record details

NPI number1124208152
Entity typeIndividual (Type 1)
GenderMale
Credentials DDS
Sole proprietorNo
NPI enumeratedNovember 7, 2007
Last updated in NPPESMarch 12, 2021
Certification dateMarch 5, 2021

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