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CAPITOL PERIODONTAL GROUP
NPI 1366908618
Dentist - Periodontics in Davis, CA

Active since February 12, 2019
750 F STREET #5, DAVIS, CA 95616(530) 756-6087(530) 756-5688 Get Directions Write a Review

NPPES record last updated: February 12, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Capitol Periodontal Group NPPES

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

CAPITOL PERIODONTAL GROUP (NPI 1366908618) is a healthcare organization registered as a periodontics in Davis, California and active in the NPI registry since February 2019. The organization lists Renee Blake, Insurance Coordinator, as its authorized official.

NPPES Registry Identity

NPI1366908618
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCAPITOL PERIODONTAL GROUP
Location Address750 F STREET #5Davis, CA 95616
Mailing Address9309 Office Park Circle, Suite 120Elk Grove, CA 95758 · (916) 691-1050 · Fax (916) 691-1066
Phone(530) 756-6087
Fax(530) 756-5688
Organization SubpartNo
Authorized OfficialRenee BlakeInsurance Coordinator · (916) 691-1050
Enumeration DateFebruary 12, 2019
✔ NPI 1366908618 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
Definition
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.

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 Capitol Periodontal Group's NPI number?

The NPI number for Capitol Periodontal Group is 1366908618. It was assigned to this organization in the NPPES registry on February 12, 2019.

Where is Capitol Periodontal Group located?

Capitol Periodontal Group is located at 750 F Street #5, Davis, CA 95616. The listed phone number is (530) 756-6087.

What is Capitol Periodontal Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Capitol Periodontal Group was last updated on February 12, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.