Provider Type Icon

SAMRA DDS INC. NPI 1679169924


NPI Information

NPI: 1679169924
Provider Name: SAMRA DDS INC.

Doing Business As: CALIFORNIA DENTAL SPECIALISTS

Classification: Dentist - 1223S0112X
Entity Type: Organization

Specialization: Oral and Maxillofacial Surgery

Address:
2431 W MARCH LN STE 100-A
STOCKTON, CA
ZIP 95207
Phone: (209) 616-1100
Get Directions

SAMRA DDS INC. is an oral and maxillofacial surgery dentist in Stockton, CA. The provider is an oral and maxillofacial surgery dentist specialized in the diagnosis, surgical and adjunctive treatment of diseases, injuries and defects involving both the functional and esthetic aspects of the hard and soft tissues of the oral and maxillofacial region. SAMRA DDS INC. NPI is 1679169924. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As California Dental Specialists.

The provider's business location address is:

2431 W MARCH LN STE 100-A
STOCKTON, CA
ZIP 95207-211
Phone: (209) 616-1100

The provider's authorized official is Manjeet Samra .
The authorized official title is Owner and has the following contact phone number (209) 923-3013.

The enumeration date for this NPI number is 12/20/2020 and was last updated on 6/6/2021.


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
11223S0112XDentistOral and Maxillofacial SurgeryYes

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
10OTHER0

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

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.