Organization · Type 2 NPI
Gill Dental Group PC
Dental Clinic/Center · Modesto, CA
NPI number
1174487953
Active
Practice location
3440 Mchenry Ave Ste E14
Modesto, CA 95350-1453
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Dental Clinic/Center Primary | 261QD0000X | None listed |
Dental Clinic/Center: Definition to come...
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About NPI 1174487953
Gill Dental Group PC's National Provider Identifier is 1174487953, issued on Dec 15, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Modesto, CA. The record was last updated on Dec 15, 2025.