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

NORTHSTATE DENTAL UNIVERSITY PROGRAM

Active Organization

NORTHSTATE DENTAL UNIVERSITY PROGRAM is a General Dentistry organization located in ELK GROVE, California. NPI 1588498133 is currently active in the NPPES registry. Verify at CMS.

General Dentistry · ELK GROVE, CA

Registration Details

NPI Number
1588498133
Provider Type
Organization
NPI Issued
Aug 27, 2024 (1.9908037680003 yrs)
Last Updated
Aug 27, 2024

Practice Information

Address
2400 MARITIME DRIVE
ELK GROVE, CA, 95758
Browse CA providers · Browse ZIP 95758
Phone
9166868914
Primary Specialty
General Dentistry
1223G0001X
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.