CATON J STATE DDS MS PC
NPI 1215617121
Dentist - Periodontics in Placerville, CA

Active since July 25, 2023
3105 CEDAR RAVINE ROAD, SUITE 203, PLACERVILLE, CA 95667(530) 626-6320 Get Directions Write a Review

NPPES record last updated: July 25, 2023. Verified against the NPPES registry weekly; last sync: July 19, 2026.

  • Organization
  • Dentist
  • Periodontics

About CATON J STATE DDS MS PC

This page provides the complete NPI Profile along with additional information for Caton J State Dds Ms Pc, a provider established in Placerville, California operating as a Dentist, focusing in periodontics . The healthcare provider is registered in the NPI registry with number 1215617121 assigned on July 2023. The practitioner's primary taxonomy code is 1223P0300X. The provider is registered as an organization and their NPI record was last updated 3 years ago. Caton J State Dds Ms Pc operates as a Multi-Specialty Group with one or more individual practitioners, who practice different areas of specialization. The authorized official of this NPI record is Jadgev Heir (Ceo/president)

NPI
1215617121 Verify this NPI
Provider Name
CATON J STATE DDS MS PC
Entity Type
Organization
Location Address
3105 CEDAR RAVINE ROAD SUITE 203 PLACERVILLE, CA 95667
Location Phone
(530) 626-6320
Mailing Address
4170 TRUXEL ROAD SUITE C SACRAMENTO, CA 95834
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
07-25-2023
Last Update Date
07-25-2023
Code Navigator

A dentist like Caton J State Dds Ms Pc 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 Periodontics

Taxonomy Code
1223P0300X
Type
Dental Providers
Taxonomy Description
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.

Secondary Taxonomies

The provider has reported to the NPI enumerator additional taxonomy codes. Multiple taxonomy codes may represent subspecialties or other areas of specialization the provider maybe licensed to practice.

No. Taxonomy Code Type Classification /
Specialization
License No. (State)
1390200000XStudent, Health Care

Student in an Organized Health Care Education/Training Program

 

Group Taxonomy 193200000X MULTI-SPECIALTY GROUP

This provider is a business group of one or more individual practitioners, who practice with different areas 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

JADGEV HEIR

Authorized Official Title
CEO/PRESIDENT
Authorized Official Phone
(518) 441-5483

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

Orthopaedic Surgery (Sports Medicine)
3105 CEDAR RAVINE ROAD, #101
PLACERVILLE, CA 95667

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1215617121, enumerated as an "organization" on July 25, 2023.

The provider is located at 3105 CEDAR RAVINE ROAD SUITE 203 PLACERVILLE, CA 95667 and the phone number is (530) 626-6320.

Dentist with taxonomy code 1223P0300X and a focus in Periodontics.