Healthcare Provider Details

I. General information

NPI: 1366379364
Provider Name (Legal Business Name): STEVE TRUMAN, DDS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/05/2026
Last Update Date: 05/05/2026
Certification Date: 05/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1099 D ST
SAN RAFAEL CA
94901-2829
US

IV. Provider business mailing address

1537 E 31ST ST
OAKLAND CA
94602-1020
US

V. Phone/Fax

Practice location:
  • Phone: 435-313-3881
  • Fax:
Mailing address:
  • Phone: 435-313-3881
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code1223D0001X
TaxonomyPublic Health Dentistry
License Number
License Number State

VIII. Authorized Official

Name: DR. STEVEN TRUMAN
Title or Position: OWNER
Credential: DDS
Phone: 435-313-3881