FOOTHILL DENTAL PRACTICE NPI 1417176058

NPI Information

FOOTHILL DENTAL PRACTICE 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. FOOTHILL DENTAL PRACTICE NPI is 1417176058. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

5070 FOOTHILLS BLVD STE 2
ROSEVILLE, CA
ZIP 95747-500
Phone: (916) 781-2611
Fax: (916) 781-2760

The provider's authorized official is Allen Stevenson Latham .
The authorized official title is Partner and has the following contact phone number (916) 781-2611.

The enumeration date for this NPI number is 4/24/2007 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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