LAGUNA CREEK FAMILY DENTISTRY
NPI 1063703643
Dentist in Elk Grove, CA
- Organization
- Dentist
- CLIA Number: 05D2303477
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 04-24-2028
About LAGUNA CREEK FAMILY DENTISTRY
This page provides the complete NPI Profile along with additional information for Laguna Creek Family Dentistry, a provider established in Elk Grove, California operating as a Dentist. The healthcare provider is registered in the NPI registry with number 1063703643 assigned on April 2011. The practitioner's primary taxonomy code is 122300000X with license number 39558 (CA). The provider is registered as an organization and their NPI record was last updated 15 years ago. The organization operates as a Single Specialty Group with one or more individual practitioners, all of who practice with the same area of specialization. The authorized official of this NPI record is Dr. Curtis P Pon Dds (Owner)
- NPI
- 1063703643 Verify this NPI
- Provider Name
- LAGUNA CREEK FAMILY DENTISTRY
- Entity Type
- Organization
- Location Address
- 5030 LAGUNA BLVD STE 108 ELK GROVE, CA 95758
- Location Phone
- (916) 684-4888
- Location Fax
- (916) 684-6999
- Mailing Address
- 5030 LAGUNA BLVD STE 108 ELK GROVE, CA 95758
- Mailing Phone
- (916) 684-4888
- Mailing Fax
- (916) 684-6999
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 04-29-2011
- Last Update Date
- 04-29-2011
- Code Navigator
A dentist like Laguna Creek Family Dentistry is a skilled in and licensed provider that diagnoses and treats problems with patients teeth, gums, and related parts of the mouth. Dentists educate patients on how to take care of the teeth and gums and provide information on diet choices that affect oral health. Dentists must be licensed in the state in which they work.
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Dentist
- Taxonomy Code
- 122300000X
- Type
- Dental Providers
- License No.
- 39558
- License State
- CA
- Taxonomy Description
- A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.
Group Taxonomy 193400000X SINGLE SPECIALTY GROUP
This provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 05D2303477
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- April 25, 2026
- Certificate Expiration Date
- April 24, 2028
- Laboratory Director
- JEFFREY FELGNER
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Laguna Creek Family Dentistry to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1063703643, enumerated as an "organization" on April 29, 2011.
The provider is located at 5030 LAGUNA BLVD STE 108 ELK GROVE, CA 95758 and the phone number is (916) 684-4888.
Dentist with taxonomy code 122300000X.
