Provider Type Icon

SPRAGUE PACKHAM & PIZZA DENTAL CORPORATION NPI 1225168156


NPI Information

NPI: 1225168156
Provider Name: SPRAGUE, PACKHAM & PIZZA DENTAL CORPORATION

Doing Business As: (DBA) ROSEWOOD DENTAL GROUP

Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
4027 MISSION OAKS BLVD
CAMARILLO, CA
ZIP 93012
Phone: (805) 484-1022
Get Directions

SPRAGUE, PACKHAM & PIZZA DENTAL CORPORATION is a general practice dentist in Camarillo, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. SPRAGUE, PACKHAM & PIZZA DENTAL CORPORATION NPI is 1225168156. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As (dba) Rosewood Dental Group.

The provider's business location address is:

4027 MISSION OAKS BLVD
CAMARILLO, CA
ZIP 93012-156
Phone: (805) 484-1022
Fax: (805) 484-3221

The provider's authorized official is Robert W Sprague .
The authorized official title is DENTIST CEOCeo and has the following contact phone number (805) 484-1022.

The enumeration date for this NPI number is 3/7/2007 and was last updated on 10/20/2014.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice29105CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
1850412 & 781138OTHERCALIFORNIAUNITED CONCORDIA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.