CAPITOL PERIODONTAL GROUP NPI 1235321852

NPI Information

CAPITOL PERIODONTAL GROUP is a periodontics dentist in Roseville, CA. The provider is that specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues. CAPITOL PERIODONTAL GROUP NPI is 1235321852. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

2428 PROFESSIONAL DR
STE 100
ROSEVILLE, CA
ZIP 95661-774
Phone: (916) 786-6585
Fax: (916) 786-7542

The provider's authorized official is Susan Dilworth .
The authorized official title is Financial Assistant and has the following contact phone number (916) 394-6555.

The enumeration date for this NPI number is 8/16/2007 and was last updated on 8/16/2007.

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:

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.