DENTAL SURGERY CENTERS OF AMERICA NPI 1609041813

NPI Information

NPI: 1609041813
Provider Name: DENTAL SURGERY CENTERS OF AMERICA

Doing Business As: DELTA SURGICAL

Classification: Clinic/Center - 261QA1903X
Entity Type: Organization

Specialization: Ambulatory Surgical

Address:
1523 E MARCH LN STE A
STOCKTON, CA
ZIP 95210
Phone: (209) 952-9000
Get Directions

DENTAL SURGERY CENTERS OF AMERICA is an ambulatory surgical clinic center in Stockton, CA. DENTAL SURGERY CENTERS OF AMERICA NPI is 1609041813. The provider is registered as an organization entity type.
The provider Is Doing Business As Delta Surgical.

The provider's business location address is:

1523 E MARCH LN STE A
STOCKTON, CA
ZIP 95210-607
Phone: (209) 952-9000
Fax: (209) 373-1190

The provider's authorized official is David Thompson .
The authorized official title is Ceo and has the following contact phone number (559) 593-5291.

The CLIA number assigned to this NPI record is 05D1086100 - ambulatory surgery center with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/29/2008 and was last updated on 4/27/2020.

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 Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	261QA1903X	Clinic/Center	Ambulatory Surgical		CALIFORNIA	No
2	261QA1903X	Clinic/Center	Ambulatory Surgical			Yes

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 Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	G89236	MEDICAID	CALIFORNIA

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: 5/5/2024

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