MANTENA DENTAL CORPORTATION
NPI 1316555253
Dentist - General Practice in Folsom, CA

Active since July 16, 2020
25005 BLUE RAVINE RD STE 100, FOLSOM, CA 95630(916) 984-8050 Get Directions Write a Review

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

About Mantena Dental Corportation NPPES

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

MANTENA DENTAL CORPORTATION (NPI 1316555253), doing business as Empire Parkway Dental Group, is a healthcare organization registered as a general practice in Folsom, California and active in the NPI registry since July 2020. The organization lists Morgan Macdougall, Office Manager, as its authorized official.

NPPES Registry Identity

NPI1316555253
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMANTENA DENTAL CORPORTATION
Location Address25005 BLUE RAVINE RD STE 100Folsom, CA 95630-5706
Mailing Address25005 Blue Ravine Rd Ste 100Folsom, CA 95630-5706 · (916) 984-8050
Organization SubpartNo
Authorized OfficialMorgan MacdougallOffice Manager · (916) 599-6767
Enumeration DateJuly 16, 2020
NPPES CertifiedJuly 16, 2020
NPI 1316555253 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.
25005 BLUE RAVINE RD STE 100, Folsom, CA 95630

Other Names 1

Doing Business AsEmpire Parkway Dental Group

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.

Clinic/Center (Dental)
25005 BLUE RAVINE RD STE 100
FOLSOM, CA 95630
Dentist (General Practice)
25005 BLUE RAVINE RD STE 100
FOLSOM, CA 95630

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 Mantena Dental Corportation's NPI number?

The NPI number for Mantena Dental Corportation is 1316555253. It was assigned to this organization in the NPPES registry on July 16, 2020. The provider is doing business as Empire Parkway Dental Group.

Where is Mantena Dental Corportation located?

Mantena Dental Corportation is located at 25005 Blue Ravine Rd Ste 100, Folsom, CA 95630. The listed phone number is (916) 984-8050.

What is Mantena Dental Corportation'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 Mantena Dental Corportation was last updated on July 16, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.