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ELK GROVE DENTAL GROUP
NPI 1114109386
Dentist - General Practice in Elk Grove, CA

Active since November 29, 2007CLIA 05D2342977 · Waiver
9640 BRUCEVILLE RD, SUITE 101, ELK GROVE, CA 95757(916) 686-9030(916) 686-9033 Get Directions Write a Review

NPPES record last updated: November 29, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Elk Grove Dental Group NPPES

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

ELK GROVE DENTAL GROUP (NPI 1114109386) is a healthcare organization registered as a general practice in Elk Grove, California and active in the NPI registry since November 2007. The organization holds a CLIA Waiver certificate valid through April 28, 2028 and lists Inaksh Johal, Contracts Administrator, as its authorized official.

NPPES Registry Identity

NPI1114109386
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameJOHAL AND GHAZAL DENTAL CORPORATION
Location Address9640 BRUCEVILLE RD, SUITE 101Elk Grove, CA 95757-5950
Mailing Address2860 Michelle, 2nd FloorIrvine, CA 92606-1009 · (714) 508-3600 · Fax (714) 368-2092
Phone(916) 686-9030
Fax(916) 686-9033
Organization SubpartNo
Authorized OfficialInaksh JohalContracts Administrator · (916) 686-9030
Enumeration DateNovember 29, 2007
✔ NPI 1114109386 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
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.
9640 BRUCEVILLE RD, Elk Grove, CA 95757
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Other Names 1

Doing Business AsElk Grove Dental Group

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2342977

Elk Grove Dental Group · Elk Grove, CA
Active · expires Apr 28, 2028
CLIA Number05D2342977
Laboratory TypeDental Practice
Certificate Effective DateApril 29, 2026
Certificate Expiration DateApril 28, 2028
Laboratory DirectorInaksh Johal
Laboratory Phone(916) 686-9030
Laboratory LocationElk Grove Dental Group9640 Bruceville Rd #101, Elk Grove, CA 95757
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 7

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

DR. KEVIN T PAIGE D.D.S.
Dentist (General Practice)
9640 BRUCEVILLE RD, 101
ELK GROVE, CA 95757
Sacramento County (916) 686-9030
NEHA DHAND
Dentist
9640 BRUCEVILLE RD
ELK GROVE, CA 95757
Sacramento County (916) 686-9030
DR. MARCELA DIAZ DDS
Dentist (General Practice)
9640 BRUCEVILLE RD, STE. 101
ELK GROVE, CA 95757
Sacramento County (916) 686-9030
DR. INAKSH JOHAL DDS
Dentist (General Practice)
9640 BRUCEVILLE RD, SUITE 101
ELK GROVE, CA 95757
Sacramento County (916) 686-9030
DR. JATIN ARORA DDS
Dentist
9640 BRUCEVILLE RD
ELK GROVE, CA 95757
Sacramento County (503) 819-6386
HARSH BHANDARI
Dentist (General Practice)
9640 BRUCEVILLE RD
ELK GROVE, CA 95757
Sacramento County (916) 684-3747
WINSTON LIN D.D.S.
Dentist (Pediatric Dentistry)
9640 BRUCEVILLE RD, 101
ELK GROVE, CA 95757
Sacramento County (916) 686-9030

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 Johal And Ghazal Dental Corporation's NPI number?

The NPI number for Johal And Ghazal Dental Corporation is 1114109386. It was assigned to this organization in the NPPES registry on November 29, 2007. The provider is doing business as Elk Grove Dental Group.

Where is Johal And Ghazal Dental Corporation located?

Johal And Ghazal Dental Corporation is located at 9640 Bruceville Rd Suite 101, Elk Grove, CA 95757. The listed phone number is (916) 686-9030.

What is Johal And Ghazal Dental Corporation's specialty?

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

Does Johal And Ghazal Dental Corporation hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2342977) is associated with this NPI, valid through April 28, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Johal And Ghazal Dental Corporation was last updated on November 29, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 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.