Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

LODI KIDS DENTIST A PROFESSIONAL DENTAL CORPORATION
NPI 1043143696
Dentist - Pediatric Dentistry in Lodi, CA

Q: What is Lodi Kids Dentist A Professional Dental Corporation's specialty?

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

Active since June 04, 2026

740 W KETTLEMAN LN, LODI, CA 95240(209) 808-5439 Get Directions Write a Review

NPPES record added: June 4, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lodi Kids Dentist A Professional Dental Corporation NPPES

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

LODI KIDS DENTIST A PROFESSIONAL DENTAL CORPORATION (NPI 1043143696), doing business as Lodi Kids Dentist A Professional Dental Corporation Dba Lodi Kidz Dentist, is a healthcare organization registered as a pediatric dentistry in Lodi, California and active in the NPI registry since June 2026. The organization lists Ahmed Salem, Ceo, as its authorized official.

NPPES Registry Identity

NPI1043143696

Entity TypeOrganization

Primary Taxonomy1223P0221X

Legal Business NameLODI KIDS DENTIST A PROFESSIONAL DENTAL CORPORATION

Location Address740 W KETTLEMAN LNLodi, CA 95240-6051

Mailing Address9707 Blansfield WayElk Grove, CA 95757-4021 · (916) 849-3174

Phone(209) 808-5439

Organization SubpartNo

Authorized OfficialAhmed SalemCeo · (916) 849-3174

Enumeration DateJune 4, 2026

NPPES CertifiedJune 4, 2026

✔ NPI 1043143696 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyDentist · Pediatric DentistryDental Providers

Taxonomy Code1223P0221X

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.

Also ListedDentist · Orthodontics and Dentofacial OrthopedicsTaxonomy 1223X0400X

740 W KETTLEMAN LN, Lodi, CA 95240

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Other Names 1

Doing Business AsLodi Kids Dentist A Professional Dental Corporation Dba Lodi Kidz Dentist

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

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 Lodi Kids Dentist A Professional Dental Corporation's NPI number?

The NPI number for Lodi Kids Dentist A Professional Dental Corporation is 1043143696. It was assigned to this organization in the NPPES registry on June 4, 2026. The provider is doing business as Lodi Kids Dentist A Professional Dental Corporation DBA Lodi Kidz Dentist.

Where is Lodi Kids Dentist A Professional Dental Corporation located?

Lodi Kids Dentist A Professional Dental Corporation is located at 740 W Kettleman Ln, Lodi, CA 95240. The listed phone number is (209) 808-5439.

What is Lodi Kids Dentist A Professional Dental Corporation'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 Lodi Kids Dentist A Professional Dental Corporation was last updated on June 4, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.