| Placerville Dentistry Group | |
|
699 Main St Suit B Placerville CA 95667-5760 | |
| (530) 295-8000 | |
| (530) 295-9072 |
| Full Name | Placerville Dentistry Group |
|---|---|
| Speciality | Dentist - General Practice |
| Location | 699 Main St, Placerville, California |
| Authorized Official Name and Position | Debra Kidder (MANAGER) |
| Authorized Official Contact | 5302958000 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Placerville Dentistry Group 699 Main St Suit B Placerville CA 95667-5760 Ph: (530) 295-8000 | Placerville Dentistry Group 699 Main St Suit B Placerville CA 95667-5760 Ph: (530) 295-8000 |
| NPI Number | 1366862302 |
|---|---|
| Provider Enumeration Date | 04/17/2014 |
| Last Update Date | 04/17/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366862302 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 54818 (California) | Primary |
| 1223G0001X | Dentist - General Practice | 62434 (California) | Secondary |
Tavallaei DMD Corp Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4363 Golden Center Dr # A, Placerville, CA 95667 Phone: 916-984-0304 |
Carl M Hillendahl, D.D.S., Inc. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4369 Golden Center Dr, Suite B, Placerville, CA 95667 Phone: 530-626-1700 Fax: 530-626-4879 |
In Hee Song DMD, MD, Inc Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1004 Fowler Way Ste 9, Placerville, CA 95667 Phone: 530-328-0360 Fax: 530-328-0365 |
Golden Grove Dental Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 3168 Turner St Ste 300, Placerville, CA 95667 Phone: 530-622-5640 |
One Loose Tooth, Dental Practice of Dr. Alex Keith Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 4330 Golden Center Dr Ste A, Placerville, CA 95667 Phone: 530-642-8614 Fax: 530-642-9314 |
Ziese Family Dentistry Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 1008 Fowler Way Ste A, Placerville, CA 95667 Phone: 530-622-2862 Fax: 530-622-2072 |