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RICHARD PORTALUPI DDS MSD AND R. SCOTT ANDERSON DMD A DENTAL CORP NPI 1750552410


NPI Information

NPI: 1750552410
Provider Name: RICHARD PORTALUPI DDS, MSD, AND R. SCOTT ANDERSON, DMD, A DENTAL CORP

Doing Business As: CREEKSIDE ORTHODONTICS

Classification: Dentist - 1223X0400X
Entity Type: Organization

Specialization: Orthodontics and Dentofacial Orthopedics

Address:
2070 PEABODY RD STE 700
VACAVILLE, CA
ZIP 95687
Phone: (707) 452-1111
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RICHARD PORTALUPI DDS, MSD, AND R. SCOTT ANDERSON, DMD, A DENTAL CORP is an orthodontics and dentofacial orthopedics dentist in Vacaville, CA. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. RICHARD PORTALUPI DDS, MSD, AND R. SCOTT ANDERSON, DMD, A DENTAL CORP NPI is 1750552410. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Creekside Orthodontics.

The provider's business location address is:

2070 PEABODY RD STE 700
VACAVILLE, CA
ZIP 95687-697
Phone: (707) 452-1111
Fax: (707) 452-0277

The provider's authorized official is R. Scott Anderson .
The authorized official title is Orthodontist and has the following contact phone number (707) 452-1111.

The enumeration date for this NPI number is 3/20/2008 and was last updated on 3/20/2008.


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
11223X0400XDentistOrthodontics and Dentofacial OrthopedicsCALIFORNIAYes

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: 11/14/2023

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