OrganizationActive
Marivic C Agoncillo DDS Inc
NPI 1114805413 · Dental Clinic/Center · Daly City, CA
Marivic C Agoncillo DDS Inc is a Dental Clinic/Center organization in Daly City, CA (NPI 1114805413).
Provider details
- NPI number
- 1114805413
- Entity type
- Organization
- Primary specialty
- Dental Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Marivic Agoncillo, Owner / Dentist(650) 731-0625
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
Established profile(54/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
343 Gellert Blvd Ste G
Daly City, CA 94015-2620
Phone: (650) 731-0625
Fax: (650) 997-3542
Street-level locationGet directions
Mailing address
343 Gellert Blvd Ste G
Daly City, CA 94015-2620
Registry dates
- Enumerated
- 2025-08-25
- Last updated
- 2025-08-25
- Certified
- 2025-08-25
Frequently asked questions
- What is Marivic C Agoncillo DDS Inc's NPI number?
- Marivic C Agoncillo DDS Inc's National Provider Identifier (NPI) is 1114805413, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Marivic C Agoncillo DDS Inc?
- Marivic C Agoncillo DDS Inc is classified in the NPPES registry as Dental Clinic/Center (Ambulatory Health Care Facilities).
- Where is Marivic C Agoncillo DDS Inc located?
- Marivic C Agoncillo DDS Inc's practice location on file with NPPES is 343 Gellert Blvd Ste G, Daly City, CA 94015-2620.
- What is Marivic C Agoncillo DDS Inc's phone number?
- The practice phone number listed in the NPPES registry for Marivic C Agoncillo DDS Inc is (650) 731-0625.
- Who is the authorized official for Marivic C Agoncillo DDS Inc?
- The authorized official listed on Marivic C Agoncillo DDS Inc's NPPES record is Marivic Agoncillo, Owner / Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Marivic C Agoncillo DDS Inc's NPI active?
- Yes — Marivic C Agoncillo DDS Inc's NPI (1114805413) is active in the NPPES registry as of the last update on 2025-08-25.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.