PARKSIDE DENTAL CARE NPI 1720133796

NPI Information

NPI: 1720133796
Provider Name: PARKSIDE DENTAL CARE
Classification: Dentist - 1223E0200X
Entity Type: Organization

Specialization: Endodontics

Address:
1325 TRAVIS BLVD
FAIRFIELD, CA
ZIP 94533
Phone: (707) 427-2222
Get Directions

PARKSIDE DENTAL CARE is an endodontics dentist in Fairfield, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. PARKSIDE DENTAL CARE NPI is 1720133796. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1325 TRAVIS BLVD
FAIRFIELD, CA
ZIP 94533-611
Phone: (707) 427-2222
Fax: (707) 427-0562

The provider's authorized official is Avril May Altman .
The authorized official title is Insurance Coordinator and has the following contact phone number (707) 427-2222.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/22/2020.

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	1223E0200X	Dentist	Endodontics	48710	CALIFORNIA	Yes
2	1223G0001X	Dentist	General Practice	28479	CALIFORNIA	X
3	1223G0001X	Dentist	General Practice	27964	CALIFORNIA	X
4	1223G0001X	Dentist	General Practice	30117	CALIFORNIA	X
5	1223G0001X	Dentist	General Practice	51677	CALIFORNIA	X
6	1223P0300X	Dentist	Periodontics	49443	CALIFORNIA	X
7	1223S0112X	Dentist	Oral and Maxillofacial Surgery	19300	CALIFORNIA	X
8	1223X0400X	Dentist	Orthodontics and Dentofacial Orthopedics	45580	CALIFORNIA	X

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

NPI Synchronization or Removal

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.

« Previous NPI

Next NPI »