1. Home
  2. Directory
  3. California
  4. Folsom
  5. Dentist
  6. NPI Profile

SUMMIT DENTAL PRACTICE
NPI 1578956363
Dentist in Folsom, CA

Active since March 18, 2015
25004 BLUE RAVINE RD, FOLSOM, CA 95630(916) 355-8400(916) 355-8460 Get Directions Write a Review

NPPES record last updated: March 18, 2015. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Summit Dental Practice NPPES

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

SUMMIT DENTAL PRACTICE (NPI 1578956363) is a healthcare organization registered as a dentist in Folsom, California and active in the NPI registry since March 2015. The organization lists Mahnaz Moussavi, Dds, as its authorized official.

NPPES Registry Identity

NPI1578956363
Entity TypeOrganization
Primary Taxonomy122300000X
Legal Business NameSUMMIT DENTAL PRACTICE
Location Address25004 BLUE RAVINE RDFolsom, CA 95630-5283
Mailing Address25004 Blue Ravine RdFolsom, CA 95630-5283 · (916) 355-8400 · Fax (916) 355-8460
Phone(916) 355-8400
Fax(916) 355-8460
Organization SubpartNo
Authorized OfficialMahnaz MoussaviDds · (916) 355-8400
Enumeration DateMarch 18, 2015
✔ NPI 1578956363 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentistDental Providers
Taxonomy Code122300000X
License✔ Licensed in CA · 39990
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.
25004 BLUE RAVINE RD, Folsom, CA 95630
Open in Google Maps ↗

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

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

CHOICE ACUPUNCTURE CLINIC
Acupuncturist
25004 BLUE RAVINE RD, SUITE 117
FOLSOM, CA 95630
Sacramento County (916) 778-0875

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 Summit Dental Practice's NPI number?

The NPI number for Summit Dental Practice is 1578956363. It was assigned to this organization in the NPPES registry on March 18, 2015.

Where is Summit Dental Practice located?

Summit Dental Practice is located at 25004 Blue Ravine Rd, Folsom, CA 95630. The listed phone number is (916) 355-8400.

What is Summit Dental Practice's specialty?

The primary specialty registered for this NPI is Dentist with taxonomy code 122300000X.

When was this NPI record last updated?

The NPPES record for Summit Dental Practice was last updated on March 18, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.