| Sierra Periodontal Group | |
| 
					8680 Greenback Lane Suite 109 Orangevale CA 95662-7790  | |
| (916) 962-0545 | |
| (916) 962-0927 | 
| Full Name | Sierra Periodontal Group | 
|---|---|
| Speciality | Dentist - Periodontics | 
| Location | 8680 Greenback Lane Suite 109, Orangevale, California | 
| Authorized Official Name and Position | Elaheh Samsari (OWNER) | 
| Authorized Official Contact | 9169620545 | 
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. | 
| Mailing Address | Practice Location Address | 
|---|---|
| Sierra Periodontal Group 8680 Greenback Lane Suite 109 Orangevale CA 95662-7790 Ph: (916) 962-0545  | Sierra Periodontal Group 8680 Greenback Lane Suite 109 Orangevale CA 95662-7790 Ph: (916) 962-0545  | 
| NPI Number | 1639492226 | 
|---|---|
| Provider Enumeration Date | 03/10/2010 | 
| Last Update Date | 03/07/2025 | 
| Identifier | Type | State | Issuer | 
|---|---|---|---|
| 1639492226 | NPI | - | NPPES | 
| Taxonomy | Type | License (State) | Status | 
|---|---|---|---|
| 1223P0300X | Dentist - Periodontics | 47415 (California) | Primary | 
Paolo A Poidmore, Dds, Msd, A Professional Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9197 Greenback Ln Ste B, Orangevale, CA 95662 Phone: 916-989-2187 Fax: 916-989-2187  | |
Paolo A Poidmore And Brian C Crawford Dental Corporation Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 9197 Greenback Ln Ste B, Orangevale, CA 95662 Phone: 916-259-9255 Fax: 916-384-3844  | |
Sattout And Alaswad Dental Corp. Dental Clinic Medicare: Not Enrolled in Medicare Practice Location: 8851 Greenback Ln, Orangevale, CA 95662 Phone: 916-988-5559 Fax: 916-988-5936  |