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SANTA CRUZ DENTAL GROUP NPI 1962952762


NPI Information

NPI: 1962952762
Provider Name: SANTA CRUZ DENTAL GROUP
Classification: Dentist - 122300000X
Entity Type: Organization
Address:
1017 MISSION ST
SANTA CRUZ, CA
ZIP 95060
Phone: (831) 426-3535
Get Directions

SANTA CRUZ DENTAL GROUP is a dentist in Santa Cruz, CA. The provider is a dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist. SANTA CRUZ DENTAL GROUP NPI is 1962952762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1017 MISSION ST
SANTA CRUZ, CA
ZIP 95060-524
Phone: (831) 426-3535
Fax: (831) 454-0330

The provider's authorized official is Max Wilson .
The authorized official title is Partner and has the following contact phone number (831) 426-3535.

The enumeration date for this NPI number is 10/5/2016 and was last updated on 10/5/2016.


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
1122300000XDentist50398CALIFORNIANo
2122300000XDentist50395CALIFORNIANo
3122300000XDentist32389CALIFORNIAYes

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
11063505477OTHERCALIFORNIADOCTOR'S NPI NUMBERS
21639272248OTHERCALIFORNIADOCTOR'S NPI NUMBERS
313261317131OTHERCALIFORNIADOCTOR'S NPI NUMBERS

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

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