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ROSEVILLE KIDS DENTIST
NPI 1033639463
Dentist - Pediatric Dentistry in Rocklin, CA

Active since June 27, 2017
6560 LONETREE BLVD STE 102, ROCKLIN, CA 95765(916) 773-5230(916) 474-5249 Get Directions Write a Review

NPPES record last updated: October 24, 2024. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 2, 2017, Jun 27, 2017 (2 updates tracked since 2017).

About Roseville Kids Dentist NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

ROSEVILLE KIDS DENTIST (NPI 1033639463) is a healthcare organization registered as a pediatric dentistry in Rocklin, California and active in the NPI registry since June 2017. The organization lists Jude Crutchfield, Owner, as its authorized official.

NPPES Registry Identity

NPI1033639463
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameCRUTCHFIELD PEDIATRIC DENTAL GROUP
Location Address6560 LONETREE BLVD STE 102Rocklin, CA 95765-5891
Mailing Address5420 Park DrRocklin, CA 95765-5562 · (916) 435-5230
Phone(916) 773-5230
Fax(916) 474-5249
Organization SubpartNo
Authorized OfficialJude CrutchfieldOwner · (916) 773-5230
Enumeration DateJune 27, 2017
Last NPPES UpdateOctober 24, 20242 updates tracked since enumeration
NPPES CertifiedOctober 24, 2024
✔ NPI 1033639463 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License✔ Licensed in CA · 58211
Definition
An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.
6560 LONETREE BLVD STE 102, Rocklin, CA 95765
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Other Names 1

Doing Business AsRoseville Kids Dentist

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TASKER AND ROWAN DENTAL CORPORATION OF MILPITAS
Dentist (Pediatric Dentistry)
6560 LONETREE BLVD STE 102
ROCKLIN, CA 95765
Placer County (916) 479-3432

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Crutchfield Pediatric Dental Group's NPI number?

The NPI number for Crutchfield Pediatric Dental Group is 1033639463. It was assigned to this organization in the NPPES registry on June 27, 2017. The provider is doing business as Roseville Kids Dentist.

Where is Crutchfield Pediatric Dental Group located?

Crutchfield Pediatric Dental Group is located at 6560 Lonetree Blvd Ste 102, Rocklin, CA 95765. The listed phone number is (916) 773-5230.

What is Crutchfield Pediatric Dental Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Pediatric Dentistry, with taxonomy code 1223P0221X.

When was this NPI record last updated?

The NPPES record for Crutchfield Pediatric Dental Group was last updated on October 24, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.