RODERIC B. PANZER NPI 1861603664

NPI Information

  • NPI: 1861603664
  • Provider Name: RODERIC B. PANZER
  • Classification: Dentist - 1223G0001X
  • Specialization: General Practice
  • Entity Type: Organization
  • Doing Business As: VACA VALLEY DENTAL
  • CLIA Number: 05D2214602
  • Address: 1980 ALAMO DR STE 2
    VACAVILLE, CA
    ZIP 95687
  • Phone: (707) 449-3777

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NPI Details

RODERIC B. PANZER is a general practice dentist in Vacaville, 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. RODERIC B. PANZER NPI is 1861603664. The provider is registered as an organization entity type and is a multiple single specialty group.
The provider Is Doing Business As Vaca Valley Dental.

The provider's business location address is:

1980 ALAMO DR STE 2
VACAVILLE, CA
ZIP 95687-100
Phone: (707) 449-3777
Fax: (707) 449-0754

The provider's authorized official is Roderic B Panzer .
The authorized official title is Dentist and has the following contact phone number (707) 449-3777.

The CLIA number assigned to this NPI record is 05D2214602 - end stage renal disease dialysis facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/24/2007 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:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223G0001XDentistGeneral Practice36691CALIFORNIANo
21223G0001XDentistGeneral Practice22417CALIFORNIAYes

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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