Organization · Type 2 NPI

Crutchfield Pediatric Dental Group

Pediatric Dentistry · Rocklin, CA

NPI number 1033639463 Active

Practice location

6560 Lonetree Blvd Ste 102
Rocklin, CA 95765-5891

Call (916) 773-5230 Map

Fax (916) 474-5249

Mailing address

5420 Park Dr
Rocklin, CA 95765-5562

Specialties and licenses

Taxonomy	Code	License
Pediatric Dentistry Primary	1223P0221X	58211 (CA)

Pediatric Dentistry: An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

Another provider at this address

Tasker and Rowan Dental Corporation of MilpitasPediatric Dentistry Rocklin, CA NPI 1952053290

Other pediatric dentistry providers in Rocklin

See all in Rocklin →

NPI record

NPI: 1033639463
Entity type: Organization (Type 2)
Issued: Jun 27, 2017
Last updated: Oct 24, 2024
Status: Active

Other names

<unavail>
Roseville Kids Dentist · doing business as
Roseville Kids Dentist · doing business as

Authorized official

Dr. Jude Crutchfield, DMD
Owner
(916) 773-5230

Verify this record

This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1033639463

Crutchfield Pediatric Dental Group's National Provider Identifier is 1033639463, issued on Jun 27, 2017. The primary taxonomy on file is Pediatric Dentistry (1223P0221X), and the practice location is in Rocklin, CA. The record was last updated on Oct 24, 2024.