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MODERN DENTAL AND IMPLANTS
NPI 1609403021
Clinic/Center - Dental in Lodi, CA

Active since March 25, 2020
601 W KETTLEMAN LN, LODI, CA 95240(209) 366-1850 Get Directions Write a Review

NPPES record last updated: July 1, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 1, 2020, Mar 25, 2020 (2 updates tracked since 2020).

About Modern Dental And Implants NPPES

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

MODERN DENTAL AND IMPLANTS (NPI 1609403021) is a healthcare organization registered as a dental in Lodi, California and active in the NPI registry since March 2020. The organization lists Devan Dalla, Ceo, as its authorized official.

NPPES Registry Identity

NPI1609403021
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGILL DALLA DENTAL INC
Location Address601 W KETTLEMAN LNLodi, CA 95240-6006
Mailing Address601 W Kettleman LnLodi, CA 95240-6006 · (209) 366-1850
Phone(209) 366-1850
Organization SubpartNo
Authorized OfficialDevan DallaCeo · (646) 427-6519
Enumeration DateMarch 25, 2020
Last NPPES UpdateJuly 1, 20202 updates tracked since enumeration
NPPES CertifiedJuly 1, 2020
✔ NPI 1609403021 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
601 W KETTLEMAN LN, Lodi, CA 95240
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Other Names 1

Doing Business AsModern Dental And Implants

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 Gill Dalla Dental Inc's NPI number?

The NPI number for Gill Dalla Dental Inc is 1609403021. It was assigned to this organization in the NPPES registry on March 25, 2020. The provider is doing business as Modern Dental And Implants.

Where is Gill Dalla Dental Inc located?

Gill Dalla Dental Inc is located at 601 W Kettleman Ln, Lodi, CA 95240. The listed phone number is (209) 366-1850.

What is Gill Dalla Dental Inc's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Gill Dalla Dental Inc was last updated on July 1, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.