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SAN RAMON DENTAL ARTS NPI 1780071555


NPI Information

NPI: 1780071555
Provider Name: SAN RAMON DENTAL ARTS
Classification: Preferred Provider Organization - 305R00000X
Entity Type: Organization

CLIA Number: 05D2129967

Address:
2821 CROW CANYON RD
SUITE 200
SAN RAMON, CA
ZIP 94583
Phone: (925) 837-8765
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SAN RAMON DENTAL ARTS is a preferred provider organization in San Ramon, CA. The provider is a group of physicians and/or hospitals who contract with an employer to provide services to their employees. In a PPO, the patient may got to the physician of his/her choice, even if that physician does not participate in the PPO, but the patient receives care at a lower benefit level. SAN RAMON DENTAL ARTS NPI is 1780071555. The provider is registered as an organization entity type.

The provider's business location address is:

2821 CROW CANYON RD
SUITE 200
SAN RAMON, CA
ZIP 94583-659
Phone: (925) 837-8765

The provider's authorized official is Linda Nakhla .
The authorized official title is Dentist/owner and has the following contact phone number (925) 837-8765.

The CLIA number assigned to this NPI record is 05D2129967 - hospital with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 4/20/2015.


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
1305R00000XPreferred Provider Organization43208CALIFORNIAYes

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: 4/28/2024

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