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STEPHANIE DIEGO DENTAL CORPORATION
NPI 1053162727
Clinic/Center - Dental in Modesto, CA

Active since March 29, 2024
1130 COFFEE RD STE 8A, MODESTO, CA 95355(209) 566-1990 Get Directions Write a Review

NPPES record last updated: March 29, 2024. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Stephanie Diego Dental Corporation NPPES

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

STEPHANIE DIEGO DENTAL CORPORATION (NPI 1053162727), doing business as Gleam Dentistry Dental Office Of Stephanie Diego, Dds, is a healthcare organization registered as a dental in Modesto, California and active in the NPI registry since March 2024. The organization lists Stephanie Diego, Ceo, as its authorized official.

NPPES Registry Identity

NPI1053162727
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameSTEPHANIE DIEGO DENTAL CORPORATION
Location Address1130 COFFEE RD STE 8AModesto, CA 95355-4228
Mailing Address1130 Coffee Rd Ste 8aModesto, CA 95355-4228 · (209) 566-1990
Phone(209) 566-1990
Organization SubpartNo
Authorized OfficialStephanie DiegoCeo · (209) 566-1990
Enumeration DateMarch 29, 2024
NPPES CertifiedMarch 29, 2024
✔ NPI 1053162727 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
1130 COFFEE RD STE 8A, Modesto, CA 95355
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Other Names 1

Doing Business AsGleam Dentistry Dental Office Of Stephanie Diego, Dds

Other Providers at the Same Location NPPES 2

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

DR. STEPHANIE J DIEGO DDS, MPH
Dentist
1130 COFFEE RD STE 8A
MODESTO, CA 95355
Stanislaus County (209) 225-9696
DR. JAMES O WOODBURY D.D.S.
Dentist (General Practice)
1130 COFFEE RD STE 8A
MODESTO, CA 95355
Stanislaus County (209) 521-8105

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 Stephanie Diego Dental Corporation's NPI number?

The NPI number for Stephanie Diego Dental Corporation is 1053162727. It was assigned to this organization in the NPPES registry on March 29, 2024. The provider is doing business as Gleam Dentistry Dental Office Of Stephanie Diego, Dds.

Where is Stephanie Diego Dental Corporation located?

Stephanie Diego Dental Corporation is located at 1130 Coffee Rd Ste 8A, Modesto, CA 95355. The listed phone number is (209) 566-1990.

What is Stephanie Diego Dental Corporation's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Stephanie Diego Dental Corporation was last updated on March 29, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years 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.