Organization · Type 2 NPI

Parkside Dental Care

Orthodontics and Dentofacial Orthopedics Dentistry · Fairfield, CA

NPI number 1720133796 Active

Practice location

1325 Travis Blvd
Fairfield, CA 94533-4611

Fax (707) 427-0562

Specialties and licenses

TaxonomyCodeLicense
Endodontics 1223E0200X48710 (CA)
General Practice Dentistry 1223G0001X28479 (CA)
General Practice Dentistry 1223G0001X27964 (CA)
General Practice Dentistry 1223G0001X30117 (CA)
General Practice Dentistry 1223G0001X51677 (CA)
Periodontics 1223P0300X49443 (CA)
Oral and Maxillofacial Surgery (Dentist) 1223S0112X19300 (CA)
Orthodontics and Dentofacial Orthopedics Dentistry Primary 1223X0400X45580 (CA)

Orthodontics and Dentofacial Orthopedics Dentistry: That area of dentistry concerned with the supervision, guidance and correction of the growing or mature dentofacial structures, including those conditions that require movement of teeth or correction of malrelationships and malformations of their related structures and the adjustment of relationships between and among teeth and facial bones by the application of forces and/or the stimulation and redirection of funct…

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About NPI 1720133796

Parkside Dental Care's National Provider Identifier is 1720133796, issued on Jan 23, 2007. The primary taxonomy on file is Orthodontics and Dentofacial Orthopedics Dentistry (1223X0400X), and the practice location is in Fairfield, CA. The record was last updated on Sep 11, 2025.