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

Roni Dawn Douglas, DDS

Individual provider General Practice Dentistry · NPI 1598873432

Roni Dawn Douglas, DDS is a General Practice Dentistry in San Rafael, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2006
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

920 Northgate Dr Ste 4
San Rafael, CA 94903-3429
Phone: (415) 491-1662
Fax: (415) 491-0312
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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 31030 (CA)

Record details

NPI number1598873432
Entity typeIndividual (Type 1)
GenderFemale
Credentials DDS
Sole proprietorYes
NPI enumeratedAugust 29, 2006
Last updated in NPPESJuly 8, 2007
Mailing address20 Circle Rd, San Rafael, CA 94903-3821

Other providers in San Rafael