Organization · Type 2 NPI

Wellspace Health

Dental Clinic/Center · Roseville, CA

NPI number 1245027655 Active

Practice location

100 Stonehouse Ct Ste 150
Roseville, CA 95678-1904

Call (916) 822-8955 Map

Fax (916) 985-4205

Mailing address

1500 Expo Pkwy
Sacramento, CA 95815-4227

Specialties and licenses

Taxonomy	Code	License
Dental Clinic/Center Primary	261QD0000X	None listed

Dental Clinic/Center: Definition to come...

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NPI record

NPI: 1245027655
Entity type: Organization (Type 2)
Issued: Apr 21, 2025
Last updated: May 13, 2025
Status: Active

Other names

<unavail>
Wellspace Health Placer Dental Community Health Center · doing business as

Authorized official

Dr. Alasdair Jonathan Porteus, PhD
Chief Executive Officer
(916) 550-5444

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 1245027655

Wellspace Health's National Provider Identifier is 1245027655, issued on Apr 21, 2025. The primary taxonomy on file is Dental Clinic/Center (261QD0000X), and the practice location is in Roseville, CA. The record was last updated on May 13, 2025.