PARKSIDE DENTAL CARE NPI 1720133796

NPI Information

  • NPI: 1720133796
  • Provider Name: PARKSIDE DENTAL CARE
  • Classification: Dentist - 1223E0200X
  • Specialization: Endodontics
  • Entity Type: Organization
  • Address: 1325 TRAVIS BLVD
    FAIRFIELD, CA
    ZIP 94533
  • Phone: (707) 427-2222

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NPI Details

PARKSIDE DENTAL CARE is an endodontics dentist in Fairfield, CA. The provider is the branch of dentistry that is concerned with the morphology, physiology and pathology of the human dental pulp and periradicular tissues. Its study and practice encompass the basic and clinical sciences including biology of the normal pulp, the etiology, diagnosis, prevention and treatment of diseases and injuries of the pulp and associated periradicular conditions. PARKSIDE DENTAL CARE NPI is 1720133796. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

1325 TRAVIS BLVD
FAIRFIELD, CA
ZIP 94533-611
Phone: (707) 427-2222
Fax: (707) 427-0562

The provider's authorized official is Avril May Altman .
The authorized official title is Insurance Coordinator and has the following contact phone number (707) 427-2222.

The enumeration date for this NPI number is 1/23/2007 and was last updated on 8/22/2020.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
11223E0200XDentistEndodontics48710CALIFORNIAYes
21223G0001XDentistGeneral Practice28479CALIFORNIAX
31223G0001XDentistGeneral Practice27964CALIFORNIAX
41223G0001XDentistGeneral Practice30117CALIFORNIAX
51223G0001XDentistGeneral Practice51677CALIFORNIAX
61223P0300XDentistPeriodontics49443CALIFORNIAX
71223S0112XDentistOral and Maxillofacial Surgery19300CALIFORNIAX
81223X0400XDentistOrthodontics and Dentofacial Orthopedics45580CALIFORNIAX

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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