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FOLSOM DENTAL GROUP NPI 1730679747


NPI Information

NPI: 1730679747
Provider Name: FOLSOM DENTAL GROUP
Classification: Dentist - 1223G0001X
Entity Type: Organization

Specialization: General Practice

Address:
3085 24TH ST STE 202
SAN FRANCISCO, CA
ZIP 94110
Phone: (415) 525-3371
Get Directions

FOLSOM DENTAL GROUP is a general practice dentist in San Francisco, 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. FOLSOM DENTAL GROUP NPI is 1730679747. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

3085 24TH ST STE 202
SAN FRANCISCO, CA
ZIP 94110-147
Phone: (415) 525-3371

The provider's authorized official is Braulio Ulloa .
The authorized official title is General Dentist and has the following contact phone number (415) 400-5115.

The enumeration date for this NPI number is 5/15/2018 and was last updated on 5/15/2018.


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 CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
11223G0001XDentistGeneral Practice47673CALIFORNIAYes
21223G0001XDentistGeneral Practice101455CALIFORNIANo
31223G0001XDentistGeneral Practice100311CALIFORNIANo

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: 11/14/2023

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