Provider Demographics
NPI:1750486288
Name:DELUCA, SAVERIO S (DDS)
Entity Type:Individual
Prefix:DR
First Name:SAVERIO
Middle Name:S
Last Name:DELUCA
Suffix:
Gender:M
Credentials:DDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7252 VILLAGE PKWY
Mailing Address - Street 2:
Mailing Address - City:DUBLIN
Mailing Address - State:CA
Mailing Address - Zip Code:94568-2030
Mailing Address - Country:US
Mailing Address - Phone:925-855-1133
Mailing Address - Fax:925-828-8132
Practice Address - Street 1:7252 VILLAGE PKWY
Practice Address - Street 2:
Practice Address - City:DUBLIN
Practice Address - State:CA
Practice Address - Zip Code:94568-2030
Practice Address - Country:US
Practice Address - Phone:825-828-4133
Practice Address - Fax:925-828-8132
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA357081223G0001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1223G0001XDental ProvidersDentistGeneral Practice