=====================================================
General NPI Number Information
=====================================================
NPI Number | 1669502175
-----------------------------------------------------
Entity Type | Individual
-----------------------------------------------------
Provider Name | ANTOINE VARANI D.D.S
-----------------------------------------------------
Gender | Male
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/06/2007
-----------------------------------------------------
Last Update Date | 10/23/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 527 E OLIVE AVE
-----------------------------------------------------
City | TURLOCK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95380-4012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 209-667-8874
-----------------------------------------------------
Fax | 209-667-8798
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 527 E OLIVE AVE # A
-----------------------------------------------------
City | TURLOCK
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 95380-4012
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 209-667-8874
-----------------------------------------------------
Fax | 209-667-8798
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position |
-----------------------------------------------------
Name |
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone |
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 1223G0001X
-----------------------------------------------------
Taxonomy Name | General Practice Dentistry
-----------------------------------------------------
License Number | 52952
-----------------------------------------------------
License Number State | CA
-----------------------------------------------------