PRODENT DENTAL LAB
NPI 1477884641
Dental Laboratory in Vacaville, CA

Active since January 27, 2010
3000 ALAMO DR STE 108, VACAVILLE, CA 95687(707) 655-8824 Get Directions Write a Review

NPPES record last updated: January 28, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Prodent Dental Lab NPPES

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

PRODENT DENTAL LAB (NPI 1477884641) is a healthcare organization registered as a dental laboratory in Vacaville, California and active in the NPI registry since January 2010. The organization lists Percival Magpusao Manzano, Lab Technician, as its authorized official.

NPPES Registry Identity

NPI1477884641
Entity TypeOrganization
Primary Taxonomy292200000X
Legal Business NamePRODENT DENTAL LAB
Location Address3000 ALAMO DR STE 108Vacaville, CA 95687-6345
Mailing Address3000 Alamo Dr Ste 108Vacaville, CA 95687-6345 · (707) 655-8824
Organization SubpartNo
Authorized OfficialPercival Magpusao ManzanoLab Technician · (707) 655-8824
Enumeration DateJanuary 27, 2010
Last NPPES UpdateJanuary 28, 2010
NPI 1477884641 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDental LaboratoryLaboratories
Taxonomy Code292200000X
License Licensed in CA · 016761
Definition

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.

3000 ALAMO DR STE 108, Vacaville, CA 95687

Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Dentist (General Practice)
3000 ALAMO DR STE 108
VACAVILLE, CA 95687
Denturist
3000 ALAMO DR STE 108
VACAVILLE, CA 95687
Dentist (General Practice)
3000 ALAMO DR STE 108
VACAVILLE, CA 95687

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 Prodent Dental Lab's NPI number?

The NPI number for Prodent Dental Lab is 1477884641. It was assigned to this organization in the NPPES registry on January 27, 2010.

Where is Prodent Dental Lab located?

Prodent Dental Lab is located at 3000 Alamo Dr Ste 108, Vacaville, CA 95687. The listed phone number is (707) 655-8824.

What is Prodent Dental Lab's specialty?

The primary specialty registered for this NPI is Dental Laboratory with taxonomy code 292200000X.

When was this NPI record last updated?

The NPPES record for Prodent Dental Lab was last updated on January 28, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.