FAMILY DENTAL PRACTICE OF ROSEVILLE NPI 1326179631

NPI Information

FAMILY DENTAL PRACTICE OF ROSEVILLE is a general practice dentist in Roseville, CA. The provider is a general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs. FAMILY DENTAL PRACTICE OF ROSEVILLE NPI is 1326179631. The provider is registered as an organization entity type and is a single specialty group.

The provider's business location address is:

4014 FOOTHILLS BLVD
SUITE 103
ROSEVILLE, CA
ZIP 95747-233
Phone: (916) 773-4343
Fax: (916) 773-4348

The provider's authorized official is Mark D Phipps .
The authorized official title is Owner and has the following contact phone number (916) 773-4343.

The enumeration date for this NPI number is 3/8/2007 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:

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