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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

SANTA ROSA DENTAL

Active Organization

SANTA ROSA DENTAL is a General Dentistry organization located in SANTA ROSA, California. NPI 1043309727 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · SANTA ROSA, CA

Registration Details

NPI Number
1043309727
Provider Type
Organization
NPI Issued
Oct 12, 2006 (19.794381088447 yrs)
Last Updated
Aug 22, 2020
Licenses
30433 (CA)
30461 (CA)
30068 (CA)

Practice Information

Address
2360 MENDOCINO AVE
SUITE A 6
SANTA ROSA, CA, 954033153
Browse CA providers · Browse ZIP 95403
Phone
7075681436
Fax
7075681483
Primary Specialty
General Dentistry
1223G0001X
Additional Specialty
General Dentistry
Additional Specialty
General Dentistry
Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.