Organization · Type 2 NPI
Capitol Periodontal Group
Periodontics · Folsom, CA
NPI number
1962735993
Active
Practice location
2535 E Bidwell St Ste 150
Folsom, CA 95630-6458
Fax (916) 984-1764
Mailing address
9309 Office Park Cir Ste 120
Elk Grove, CA 95758-8072
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Periodontics Primary | 1223P0300X | 22639744 (CA) |
Periodontics: That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
About NPI 1962735993
Capitol Periodontal Group's National Provider Identifier is 1962735993, issued on Sep 9, 2009. The primary taxonomy on file is Periodontics (1223P0300X), and the practice location is in Folsom, CA. The record was last updated on Sep 9, 2009.