Andrey Antonenko, DDS - Dentist in Roseville, CA

Andrey Antonenko, DDS is a Dentist - Endodontics based in Roseville, California. Andrey Antonenko is licensed to practice in California (license number 100314) and his current practice location is 10 Sierra Gate Plz Ste 190, Roseville, California. He can be reached at his office (for appointments etc.) via phone at (916) 786-3303.

NPI number for Andrey Antonenko is 1144672874 and his current mailing address is 10 Sierra Gate Plz Ste 190, Roseville, California. He does not participate in medicare program and thus does not accept medicare assignments. His NPI Number is 1144672874.

Contact Information

Andrey Antonenko, DDS
10 Sierra Gate Plz Ste 190,
Roseville, CA 95678-6647
(916) 786-3303
Not Available

Map and Direction




Healthcare Provider's Profile

Full NameAndrey Antonenko
GenderMale
SpecialityDentist - Endodontics
Location10 Sierra Gate Plz Ste 190, Roseville, California
Accepts Medicare AssignmentsDoes not participate in Medicare Program. He may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1144672874
  • Provider Enumeration Date: 07/06/2016
  • Last Update Date: 11/06/2020

Medical Identifiers

Medical identifiers for Andrey Antonenko such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1144672874NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
1223E0200XDentist - Endodontics 100314 (California)Primary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Andrey Antonenko is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Andrey Antonenko, DDS
10 Sierra Gate Plz Ste 190,
Roseville, CA 95678-6647

Ph: (916) 786-3303
Andrey Antonenko, DDS
10 Sierra Gate Plz Ste 190,
Roseville, CA 95678-6647

Ph: (916) 786-3303

Reviews and Comments


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