Capitol Periodontal Group

LBN: Capitol Periodontal Group
Capitol Periodontal Group is an health care organization with primary practice located at 750 F Street #5 , Davis CA 95616. 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 (530) 756-6087, or through Blake, Renee via phone (916) 691-1050.

Contact Information

Primary practice address
750 F Street #5 Davis CA 95616
Phone: (530) 756-6087
Fax: (530) 756-5688
Website:
Map and Directions
Authorized official contact:
Name: Blake, Renee
Phone: (916) 691-1050

Health care specialties

SpecialtyCodeLicense #State
Dental Providers / Periodontics 1223P0300X

Profile Details

NPI number 1366908618
LBN Legal business name Capitol Periodontal Group
DBA Doing business as
Authorized official Blake, Renee
Entity Organization
Organization subpart 1 No
Enumeration date Feb 12th, 2019
Last updated Feb 12th, 2019 - about 5 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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