IndividualActive
Renz Anthony Antonio, DDS
NPI 1306407267 · Prosthodontics · San Diego, CA
Provider details
- NPI number
- 1306407267
- Entity type
- Individual
- Primary specialty
- ProsthodonticsDental Providers
- Credential
- DDS
- Sex
- Male
- Sole proprietor
- No
- License
- 103836 (CA)
Specialties & taxonomies
Dental Providers
Dental Providers
Profile Score
Detailed profile(75/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
6 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
3 documented practice locations
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
34800 Bob Wilson Dr
San Diego, CA 92134-2111
Phone: (619) 532-8600
Street-level locationGet directions
Mailing address
70 Empire Ct
Mountain View, CA 94040-1591
Additional practice locations (2)
- 8955 Wood Rd Bldg 1Bethesda, MD 20889-2111Phone: (301) 295-1550
- 620 John Paul Jones CirPortsmouth, VA 23708-2111Phone: (757) 953-2711
Registry dates
- Enumerated
- 2019-06-21
- Last updated
- 2024-08-12
- Certified
- 2024-08-12
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.