Healthcare Provider Details

I. General information

NPI: 1881505253
Provider Name (Legal Business Name): GUY GABRIEL NAZARENO DDS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/15/2026
Last Update Date: 09/15/2026
Certification Date: 09/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 FREMONT HUB COURTYARD
FREMONT CA
94538-7701
US

IV. Provider business mailing address

120 FREMONT HUB COURTYARD
FREMONT CA
94538-7701
US

V. Phone/Fax

Practice location:
  • Phone: 510-744-1300
  • Fax: 510-744-1303
Mailing address:
  • Phone: 510-744-1300
  • Fax: 510-744-1303

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223G0001X
TaxonomyGeneral Practice Dentistry
License Number
License Number State

VIII. Authorized Official

Name: GUY GABRIEL NAZARENO
Title or Position: DENTIST/OWNER
Credential: DDS
Phone: 510-744-1300