B. MADZAREVIC D.D.S. INC. NPI 1659777266

NPI Information

  • NPI: 1659777266
  • Provider Name: B. MADZAREVIC, D.D.S., INC.
  • Classification: Clinic/Center - 261QD0000X
  • Specialization: Dental
  • Entity Type: Organization
  • Doing Business As: CREEKSIDE DENTAL
  • Address: 8840 MORRO RD
    ATASCADERO, CA
    ZIP 93422
  • Phone: (805) 462-8710

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NPI Details

B. MADZAREVIC, D.D.S., INC. is a dental clinic center in Atascadero, CA. B. MADZAREVIC, D.D.S., INC. NPI is 1659777266. The provider is registered as an organization entity type.
The provider Is Doing Business As Creekside Dental.

The provider's business location address is:

8840 MORRO RD
ATASCADERO, CA
ZIP 93422-953
Phone: (805) 462-8710

The provider's authorized official is Branislav Madzarevic .
The authorized official title is President and has the following contact phone number (805) 462-8710.

The enumeration date for this NPI number is 11/8/2014 and was last updated on 11/8/2014.

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/CenterDentalCA31057CALIFORNIAYes

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 Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
11639340425OTHERCALIFORNIAPERSONAL/INDIVIDUAL

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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