Capitol Periodontal Group

LBN: Capitol Periodontal Group
Capitol Periodontal Group is an health care organization with primary practice located at 9309 Office Park Cir Ste 110, Elk Grove CA 95758-8072. The organization recently has only one registered license in Dental Providers / Periodontics, which is considered as the primary health care specialty. Capitol Periodontal Group can be contacted via phone (916) 684-3379, or through Dilworth, Susan via phone (916) 394-6555.

Contact Information

Primary practice address
9309 Office Park Cir Ste 110 Elk Grove CA 95758-8072
Phone: (916) 684-3379
Fax: (916) 684-4106
Website:
Map and Directions
Authorized official contact:
Name: Dilworth, Susan
Phone: (916) 394-6555

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1063604684
LBN Legal business name Capitol Periodontal Group
DBA Doing business as
Authorized official Dilworth, Susan
Entity Organization
Organization subpart 1 No
Enumeration date Aug 16th, 2007
Last updated Aug 16th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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