Provider Demographics
NPI:1316672918
Name:KAPLAN, AMBER R (DDS)
Entity type:Individual
Prefix:DR
First Name:AMBER
Middle Name:R
Last Name:KAPLAN
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 1:12511 EL CAMINO REAL UNIT C
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92130-4017
Mailing Address - Country:US
Mailing Address - Phone:214-356-4339
Mailing Address - Fax:
Practice Address - Street 1:2840 FIFTH AVE STE 300
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92103-6307
Practice Address - Country:US
Practice Address - Phone:619-291-4325
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-19
Last Update Date:2024-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX38779122300000X
CA109070122300000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes122300000XDental ProvidersDentist