SAN CARLOS ENDODONTICS NPI 1063846533

NPI Information

  • NPI: 1063846533
  • Provider Name: SAN CARLOS ENDODONTICS
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Address: 1028 LAUREL ST
    SAN CARLOS, CA
    ZIP 94070
  • Phone: (650) 595-3722

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NPI Details

SAN CARLOS ENDODONTICS is a dental clinic center in San Carlos, CA. SAN CARLOS ENDODONTICS NPI is 1063846533. The provider is registered as an organization entity type.

The provider's business location address is:

1028 LAUREL ST
SAN CARLOS, CA
ZIP 94070-919
Phone: (650) 595-3722
Fax: (650) 595-3636

The provider's authorized official is Lynne A Baldassari-cruz .
The authorized official title is President and has the following contact phone number (650) 380-1337.

The enumeration date for this NPI number is 9/3/2013 and was last updated on 9/3/2013.

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
1261QD0000XClinic/CenterDental38395CALIFORNIAYes

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: 11/21/2025

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