FAMILY DENTAL PRACTICE OF ROSEVILLE
NPI 1326179631
Dentist - General Practice in Roseville, CA

Active since March 08, 2007
4014 FOOTHILLS BLVD, SUITE 103, ROSEVILLE, CA 95747(916) 773-4343(916) 773-4348 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: October 04, 2026.

About Family Dental Practice Of Roseville NPPES

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

FAMILY DENTAL PRACTICE OF ROSEVILLE (NPI 1326179631) is a healthcare organization registered as a general practice in Roseville, California and active in the NPI registry since March 2007. The organization lists Mark D Phipps, Owner, as its authorized official.

NPPES Registry Identity

NPI1326179631
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameFAMILY DENTAL PRACTICE OF ROSEVILLE
Location Address4014 FOOTHILLS BLVD, SUITE 103Roseville, CA 95747-7233
Mailing Address4014 Foothills Blvd, Suite 103Roseville, CA 95747-7233 · (916) 773-4343 · Fax (916) 773-4348
Fax(916) 773-4348
Organization SubpartNo
Authorized OfficialMark D PhippsOwner · (916) 773-4343
Enumeration DateMarch 8, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1326179631 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 · 29786
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.
4014 FOOTHILLS BLVD, Roseville, CA 95747

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

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 Family Dental Practice Of Roseville's NPI number?

The NPI number for Family Dental Practice Of Roseville is 1326179631. It was assigned to this organization in the NPPES registry on March 8, 2007.

Where is Family Dental Practice Of Roseville located?

Family Dental Practice Of Roseville is located at 4014 Foothills Blvd Suite 103, Roseville, CA 95747. The listed phone number is (916) 773-4343.

What is Family Dental Practice Of Roseville'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 Family Dental Practice Of Roseville was last updated on August 22, 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.