PDI SURGERY CENTER
NPI 1598993198
Clinic/Center - Ambulatory Surgical in Windsor, CA

Q: What is Pediatric Dental Initiative Of The North Coast, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

Active since June 23, 2009

1380 19TH HOLE DR, WINDSOR, CA 95492(707) 838-6560(707) 838-8464 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Pdi Surgery Center NPPES

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

PDI SURGERY CENTER (NPI 1598993198) is a healthcare organization registered as an ambulatory surgical in Windsor, California and active in the NPI registry since June 2009. The organization lists Julie Belle Tucker, Administrator/director Of Nursing, as its authorized official.

NPPES Registry Identity

NPI1598993198

Entity TypeOrganization

Primary Taxonomy261QA1903X

Legal Business NamePEDIATRIC DENTAL INITIATIVE OF THE NORTH COAST, INC.

Location Address1380 19TH HOLE DRWindsor, CA 95492-7713

Mailing Address1380 19th Hole DrWindsor, CA 95492-7713 · (707) 838-6560 · Fax (707) 838-8464

Phone(707) 838-6560

Fax(707) 838-8464

Organization SubpartNo

Authorized OfficialJulie Belle TuckerAdministrator/director Of Nursing · (707) 838-6560

Enumeration DateJune 23, 2009

✔ NPI 1598993198 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · Ambulatory SurgicalAmbulatory Health Care Facilities

Taxonomy Code261QA1903X

License✔ Licensed in CA · 550000658

1380 19TH HOLE DR, Windsor, CA 95492

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Other Names 1

Doing Business AsPdi Surgery Center

Other Providers at the Same Location NPPES 2

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

MARK J. HAGELE, DDS, INC.

Dentist

1380 19TH HOLE DR
WINDSOR, CA 95492

Sonoma County (707) 838-6560

REDWOOD EMPIRE SURGERY CENTER, INC

Clinic/Center (Ambulatory Surgical)

1380 19TH HOLE DR
WINDSOR, CA 95492

Sonoma County (707) 838-6560

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 Pediatric Dental Initiative Of The North Coast, Inc.'s NPI number?

The NPI number for Pediatric Dental Initiative Of The North Coast, Inc. is 1598993198. It was assigned to this organization in the NPPES registry on June 23, 2009. The provider is doing business as Pdi Surgery Center.

Where is Pediatric Dental Initiative Of The North Coast, Inc. located?

Pediatric Dental Initiative Of The North Coast, Inc. is located at 1380 19th Hole Dr, Windsor, CA 95492. The listed phone number is (707) 838-6560.

What is Pediatric Dental Initiative Of The North Coast, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Ambulatory Surgical, with taxonomy code 261QA1903X.

When was this NPI record last updated?

The NPPES record for Pediatric Dental Initiative Of The North Coast, Inc. was last updated on June 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 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.