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SOUTH CALIFORNIA DENTAL PRACTICE
NPI 1114090677
Dentist - General Practice in Stockton, CA

Active since November 15, 2006
40 S CALIFORNIA ST, STOCKTON, CA 95202(209) 941-0814(209) 941-0815 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About South California Dental Practice NPPES

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

SOUTH CALIFORNIA DENTAL PRACTICE (NPI 1114090677) is a healthcare organization registered as a general practice in Stockton, California and active in the NPI registry since November 2006. The organization lists Chee Chiang Chang, Owner Dentist, as its authorized official.

NPPES Registry Identity

NPI1114090677
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameSOUTH CALIFORNIA DENTAL PRACTICE
Location Address40 S CALIFORNIA STStockton, CA 95202-3004
Mailing Address40 S California StStockton, CA 95202-3004 · (209) 941-0814 · Fax (209) 941-0815
Phone(209) 941-0814
Fax(209) 941-0815
Organization SubpartNo
Authorized OfficialChee Chiang ChangOwner Dentist · (209) 941-0814
Enumeration DateNovember 15, 2006
Last NPPES UpdateAugust 22, 2020
✔ NPI 1114090677 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License✔ Licensed in CA · 47858
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
40 S CALIFORNIA ST, Stockton, CA 95202
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Other Names 1

Doing Business AsSouth California Dental Practice

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 2

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

WEI-CHIANG HU DDS
Dentist
40 S CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 941-0814
SOUTH CALIFORNIA DENTAL PRACTICE
Dentist
40 S CALIFORNIA ST
STOCKTON, CA 95202
San Joaquin County (209) 941-0814

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 South California Dental Practice's NPI number?

The NPI number for South California Dental Practice is 1114090677. It was assigned to this organization in the NPPES registry on November 15, 2006.

Where is South California Dental Practice located?

South California Dental Practice is located at 40 S California St, Stockton, CA 95202. The listed phone number is (209) 941-0814.

What is South California Dental Practice's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for South California Dental Practice was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.