MISSION PEAK DENTAL CARE
NPI 1174701304
Dentist - General Practice in Fremont, CA

Active since February 11, 2008
39572 STEVENSON PL STE 227, FREMONT, CA 94539(510) 790-0590 Get Directions Write a Review

NPPES record last updated: February 11, 2008. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • General Practice

About MISSION PEAK DENTAL CARE

This page provides the complete NPI Profile along with additional information for Mission Peak Dental Care, a provider established in Fremont, California operating as a Dentist, focusing in general practice . The healthcare provider is registered in the NPI registry with number 1174701304 assigned on February 2008. The practitioner's primary taxonomy code is 1223G0001X with license number 30917 (CA). The provider is registered as an organization and their NPI record was last updated 18 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. Mark Loisel D.d.s. (President)

NPI
1174701304 Verify this NPI
Provider Name
MISSION PEAK DENTAL CARE
Entity Type
Organization
Location Address
39572 STEVENSON PL STE 227 FREMONT, CA 94539
Location Phone
(510) 790-0590
Mailing Address
39572 STEVENSON PL STE 227 FREMONT, CA 94539
Mailing Phone
(510) 790-0590
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-11-2008
Last Update Date
02-11-2008
Code Navigator

A dentist like Mission Peak Dental Care 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 General Practice

Taxonomy Code
1223G0001X
Type
Dental Providers
License No.
30917
License State
CA
Taxonomy Description
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.

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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

DR. MARK LOISEL D.D.S.

Authorized Official Title
PRESIDENT
Authorized Official Phone
(510) 790-0590

Reviews for MISSION PEAK DENTAL CARE

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Other Providers at the Same Location


The following 2 providers are registered at the same or a nearby location.

Dentist (General Practice)
39572 STEVENSON PL STE 227
FREMONT, CA 94539
Clinic/Center (Dental)
39572 STEVENSON PL STE 227
FREMONT, CA 94539

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1174701304, enumerated as an "organization" on February 11, 2008.

The provider is located at 39572 STEVENSON PL STE 227 FREMONT, CA 94539 and the phone number is (510) 790-0590.

Dentist with taxonomy code 1223G0001X and a focus in General Practice.