Provider Demographics
NPI:1083801807
Name:APEKIAN, JENNY (DDS)
Entity Type:Individual
Prefix:
First Name:JENNY
Middle Name:
Last Name:APEKIAN
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:JENNY
Other - Middle Name:
Other - Last Name:VASSILIAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DDS
Mailing Address - Street 1:2831 G ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95816-3783
Mailing Address - Country:US
Mailing Address - Phone:916-441-5800
Mailing Address - Fax:916-441-5848
Practice Address - Street 1:2831 G ST STE 100
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95816-3783
Practice Address - Country:US
Practice Address - Phone:916-441-5800
Practice Address - Fax:916-441-5848
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2021-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA55804122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA55804OtherDENTAL LICENSE #