SHASTA COMMUNITY DENTAL CLINIC
NPI 1538181557
Dentist in Redding, CA

Active since July 25, 2006
1201 INDUSTRIAL ST, REDDING, CA 96002(530) 246-5894(530) 241-7838 Get Directions Write a Review

NPPES record last updated: October 14, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Shasta Community Dental Clinic NPPES

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

SHASTA COMMUNITY DENTAL CLINIC (NPI 1538181557) is a healthcare organization registered as a dentist in Redding, California and active in the NPI registry since July 2006. The organization lists Jeffery Brandon Thornock, Ceo, as its authorized official.

NPPES Registry Identity

NPI1538181557
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSHASTA COMMUNITY HEALTH CENTER
Location Address1201 INDUSTRIAL STRedding, CA 96002-0757
Mailing AddressPo Box 992790Redding, CA 96099-2790 · (530) 246-5894 · Fax (530) 241-7838
Fax(530) 241-7838
Organization SubpartYes
Authorized OfficialJeffery Brandon ThornockCeo · (530) 246-5710
Enumeration DateJuly 25, 2006
Last NPPES UpdateOctober 14, 2024
NPPES CertifiedOctober 14, 2024
NPI 1538181557 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License Licensed in CA · 230000297
Definition

A dentist is a person qualified by a doctorate in dental surgery (D.D.S.) or dental medicine (D.M.D.), licensed by the state to practice dentistry, and practicing within the scope of that license. There is no difference between the two degrees: dentists who have a DMD or DDS have the same education. Universities have the prerogative to determine what degree is awarded. Both degrees use the same curriculum requirements set by the American Dental Association's Commission on Dental Accreditation. Generally, three or more years of undergraduate education plus four years of dental school is required to graduate and become a general dentist. State licensing boards accept either degree as equivalent, and both degrees allow licensed individuals to practice the same scope of general dentistry. Additional post-graduate training is required to become a dental specialist.

1201 INDUSTRIAL ST, Redding, CA 96002

Other Names 1

Other NameShasta Community Dental Clinic

Other Identifiers 1

OtherFHC70840FCA · Schcdental Medi-cal No

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 12

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

Dentist
1201 INDUSTRIAL ST
REDDING, CA 96002
Family Medicine
1201 INDUSTRIAL ST
REDDING, CA 96002
Marriage & Family Therapist
1201 INDUSTRIAL ST
REDDING, CA 96002
Marriage & Family Therapist
1201 INDUSTRIAL ST
REDDING, CA 96002
Social Worker (Clinical)
1201 INDUSTRIAL ST
REDDING, CA 96002
Social Worker (Clinical)
1201 INDUSTRIAL ST
REDDING, CA 96002
Marriage & Family Therapist
1201 INDUSTRIAL ST
REDDING, CA 96002
Clinic/Center (Federally Qualified Health Center (FQHC))
1201 INDUSTRIAL ST
REDDING, CA 96002

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1538181557, enumerated as an "organization" on July 25, 2006.

The provider is located at 1201 INDUSTRIAL ST REDDING, CA 96002 and the phone number is (530) 246-5894.

Dentist with taxonomy code 122300000X.

The provider might be accepting Accepts: California Medicaid, Medicare and Medicaid. Please consult your insurance carrier or call the provider to verify.