PEDIATRIC DENTISTRY OF TRACY
NPI 1376098848
Dentist - Pediatric Dentistry in Tracy, CA

Active since August 24, 2016
2160 W GRANT LINE RD STE 150, TRACY, CA 95377(209) 832-7906(209) 833-1382 Get Directions Write a Review

NPPES record last updated: November 12, 2018. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Nov 12, 2018, Aug 25, 2016 (2 updates tracked since 2016).

About Pediatric Dentistry Of Tracy NPPES

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

PEDIATRIC DENTISTRY OF TRACY (NPI 1376098848) is a healthcare organization registered as a pediatric dentistry in Tracy, California and active in the NPI registry since August 2016. The organization lists Joshua Solomon, President, as its authorized official.

NPPES Registry Identity

NPI1376098848
Entity TypeOrganization
Primary Taxonomy1223P0221X
Legal Business NameJOSHUA SOLOMON DDS MS DENTAL CORP
Location Address2160 W GRANT LINE RD STE 150Tracy, CA 95377-7332
Mailing Address2160 W Grant Line Rd Ste 150Tracy, CA 95377-7332 · (209) 832-7906 · Fax (209) 833-1382
Fax(209) 833-1382
Organization SubpartNo
Authorized OfficialJoshua SolomonPresident · (209) 832-7906
Enumeration DateAugust 24, 2016
Last NPPES UpdateNovember 12, 20182 updates tracked since enumeration
NPI 1376098848 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · Pediatric DentistryDental Providers
Taxonomy Code1223P0221X
License Licensed in CA · 48998
Definition

An age-defined specialty that provides both primary and comprehensive preventive and therapeutic oral health care for infants and children through adolescence, including those with special health care needs.

2160 W GRANT LINE RD STE 150, Tracy, CA 95377

Other Names 1

Doing Business AsPediatric Dentistry Of Tracy

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

The NPI number assigned to this healthcare provider is 1376098848, enumerated as an "organization" on August 24, 2016.

The provider is located at 2160 W GRANT LINE RD STE 150 TRACY, CA 95377 and the phone number is (209) 832-7906.

Dentist with taxonomy code 1223P0221X and a focus in Pediatric Dentistry.