Provider Demographics
NPI:1235702978
Name:DELGADO, NATALIE ANNE (DDS)
Entity Type:Individual
Prefix:DR
First Name:NATALIE
Middle Name:ANNE
Last Name:DELGADO
Suffix:
Gender:F
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8 W SWAIN RD
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-4344
Mailing Address - Country:US
Mailing Address - Phone:209-474-8888
Mailing Address - Fax:
Practice Address - Street 1:8 W SWAIN RD
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-4344
Practice Address - Country:US
Practice Address - Phone:209-474-8888
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-21
Last Update Date:2021-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CADDS1063401223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice