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ELDER CREEK DENTAL
NPI 1154512747
Dentist - General Practice in Sacramento, CA

Active since August 07, 2007
4730 47TH AVE, SACRAMENTO, CA 95824(916) 391-0682 Get Directions Write a Review

NPPES record last updated: August 7, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Elder Creek Dental NPPES

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

ELDER CREEK DENTAL (NPI 1154512747) is a healthcare organization registered as a general practice in Sacramento, California and active in the NPI registry since August 2007. The organization lists Peter Thompson, Manager, as its authorized official.

NPPES Registry Identity

NPI1154512747
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameELDER CREEK DENTAL
Location Address4730 47TH AVESacramento, CA 95824-3946
Mailing Address4730 47th AveSacramento, CA 95824-3946
Phone(916) 391-0682
Organization SubpartNo
Authorized OfficialPeter ThompsonManager · (916) 391-0682
Enumeration DateAugust 7, 2007
✔ NPI 1154512747 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 · 18162
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.
4730 47TH AVE, Sacramento, CA 95824
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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 8

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

LOUIS KIM DDS INC.
Dentist (General Practice)
4730 47TH AVE
SACRAMENTO, CA 95824
Sacramento County (916) 391-0682
CATHERINE MOMOH
Counselor
4730 47TH AVE, SUITE 300
SACRAMENTO, CA 95824
Sacramento County (916) 391-6694
PEDRO MIRABAL IV
Case Manager/Care Coordinator
4730 47TH AVE
SACRAMENTO, CA 95824
Sacramento County (916) 391-6694
CYNTHIA SCHREIBER MFTI
Marriage & Family Therapist
4730 47TH AVE
SACRAMENTO, CA 95824
Sacramento County (916) 391-6694
TURNING POINT COMMUNITY PROGRAMS
Clinic/Center (Adult Mental Health)
4730 47TH AVE
SACRAMENTO, CA 95824
Sacramento County (916) 391-6694
CHRISTINE MENDIOLA
Counselor (Mental Health)
4730 47TH AVE, SUITE 300
SACRAMENTO, CA 95824
Sacramento County (916) 391-6691
ERWIN ROGER OZOA
Physician Assistant
4730 47TH AVE
SACRAMENTO, CA 95824
Sacramento County (916) 391-2229
LOUIS MIN KEUN KIM DDS
Dentist (General Practice)
4730 47TH AVE
SACRAMENTO, CA 95824
Sacramento County (916) 391-0682

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 Elder Creek Dental's NPI number?

The NPI number for Elder Creek Dental is 1154512747. It was assigned to this organization in the NPPES registry on August 7, 2007.

Where is Elder Creek Dental located?

Elder Creek Dental is located at 4730 47th Ave, Sacramento, CA 95824. The listed phone number is (916) 391-0682.

What is Elder Creek Dental'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 Elder Creek Dental was last updated on August 7, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 19 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.