Organization · Type 2 NPI

Greenville Rancheria

Dentist · Red Bluff, CA

NPI number 1164780573 Active

Practice location

343 Oak St
Red Bluff, CA 96080-3304

Fax (530) 528-8612

Mailing address

PO Box 279
Greenville, CA 95947-0279

Specialties and licenses

TaxonomyCodeLicense
Dentist Primary 122300000X32161 (CA)
Dentist 122300000X56174 (CA)
General Practice Dentistry 1223G0001X59948 (CA)

Dentist: A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requiremen…

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About NPI 1164780573

Greenville Rancheria's National Provider Identifier is 1164780573, issued on Apr 24, 2012. The primary taxonomy on file is Dentist (122300000X), and the practice location is in Red Bluff, CA. The record was last updated on Oct 2, 2026.