PARKSIDE DENTAL CARE NPI 1720133796

NPI Information

  • NPI: 1720133796
  • Provider Name: PARKSIDE DENTAL CARE
  • Classification: Dentist - 1223X0400X
  • Specialization: Orthodontics and Dentofacial Orthopedics
  • Entity Type: Organization
  • Address: 1325 TRAVIS BLVD
    FAIRFIELD, CA
    ZIP 94533
  • Phone: (707) 427-2222

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NPI Details

PARKSIDE DENTAL CARE is an orthodontics and dentofacial orthopedics dentist in Fairfield, CA. The provider is that area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of functional forces within the craniofacial complex. Major responsibilities of orthodontic practice include the diagnosis, prevention, interception and treatment of all forms of malocclusion of the teeth and associated alterations in their surrounding structures; the design, application and control of functional and corrective appliances; and the guidance of the dentition and its supporting structures to attain and maintain optimum occlusal relations in physiologic and esthetic harmony among facial and cranial structures. PARKSIDE DENTAL CARE NPI is 1720133796. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1325 TRAVIS BLVD
FAIRFIELD, CA
ZIP 94533-611
Phone: (707) 427-2222
Fax: (707) 427-0562

The provider's authorized official is Avril May Altman .
The authorized official title is Insurance Coordinator and has the following contact phone number (707) 427-2222.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 9/11/2025.

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
11223E0200XDentistEndodontics48710CALIFORNIANo
21223G0001XDentistGeneral Practice28479CALIFORNIANo
31223G0001XDentistGeneral Practice27964CALIFORNIANo
41223G0001XDentistGeneral Practice30117CALIFORNIANo
51223G0001XDentistGeneral Practice51677CALIFORNIANo
61223P0300XDentistPeriodontics49443CALIFORNIANo
71223S0112XDentistOral and Maxillofacial Surgery19300CALIFORNIANo
81223X0400XDentistOrthodontics and Dentofacial Orthopedics45580CALIFORNIAYes

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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