Capital Periodontal Group in Sacramento - Periodontics

Capital Periodontal Group - NPI 1568597516

Capital Periodontal Group is a Periodontics in Sacramento, California. Capital Periodontal Group practices all healthcare services and medical treatments related to Periodontics. The NPI Number for Capital Periodontal Group is 1568597516. The last update date is 2020-08-22.

Capital Periodontal Group's current location address is 1810 Professional Drive, Sacramento, California. You can contact this provider via phone number 9169713461 and fax number 9169739830. The mailing address for Capital Periodontal Group is 1810 Professional Drive, Sacramento, California. To know further, please read the information below!

Provider Profile Detail

Provider Organization Capital Periodontal Group
Address 1810 Professional Drive, Sacramento, California
Phone Number 9169713461
Fax Number 9169739830
Sole Proprietor --
Credentials --

Authorized Official

Title or Position PERIODONTI
Authorized Official Name Pontikas Aristidis
Credentials DMD MS
Telephone Number 9169713461

NPI Number Detail

NPI Number 1568597516
Provider Enumeration Date 2007-02-22
Last Updated Date 2020-08-22

Provider Mailing Address Detail

Address 1810 Professional Drive
City Sacramento
State California (CA)
Post Code 95825
Phone Number 9169713461
Fax Number 9169739830

Provider's Primary Taxonomy Detail

Speciality Periodontics
Taxonomy 1223P0300X
Definition:
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 structure

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FAQs about Capital Periodontal Group

What is the unique 10-digit identifier code issued to Capital Periodontal Group by the Centers for Medicare & Medicaid Services?

The Capital Periodontal Group has been assigned the NPI (National Provider Identifier) 1568597516 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.

Could you share the physical location details of Capital Periodontal Group?

The Capital Periodontal Group is situated at 1810 Professional Drive, in the city of Sacramento, state of CA, with the zip code 95825.

What is Capital Periodontal Group's specialized area of practice, and what is the corresponding taxonomy classification code for this field?

The Capital Periodontal Group's specialized field of practice is Periodontics, and the corresponding taxonomy code that categorizes this area of specialization is 1223P0300X.

On what date did the Centers for Medicare & Medicaid Services originally issue the 1568597516 to Capital Periodontal Group?

The Centers for Medicare & Medicaid Services originally issued the 1568597516 to Capital Periodontal Group on 2007-02-22.

When was the information related to Capital Periodontal Group most recently updated or refreshed?

The details pertaining to the Capital Periodontal Group, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-08-22.

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