Healthcare Provider Details

I. General information

NPI: 1982518080
Provider Name (Legal Business Name): RAMON M GUTIERREZ DDS INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/28/2026
Last Update Date: 09/28/2026
Certification Date: 09/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 3RD ST STE 201
DAVIS CA
95616-4553
US

IV. Provider business mailing address

604 3RD ST STE 201
DAVIS CA
95616-4553
US

V. Phone/Fax

Practice location:
  • Phone: 530-756-2160
  • Fax:
Mailing address:
  • Phone: 530-756-2160
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QD0000X
TaxonomyDental Clinic/Center
License Number
License Number StateNULL

VIII. Authorized Official

Name: DR. RAMON GUTIERREZ
Title or Position: PRESIDENT/ CEO
Credential: DDS
Phone: 530-756-2160