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NORTHSTATE DENTAL
NPI 1619758091
Dentist - General Practice in Elk Grove, CA

Active since October 11, 2023
2400 MARITIME DRIVE, ELK GROVE, CA 95758(916) 686-8914 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Northstate Dental NPPES

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

NORTHSTATE DENTAL (NPI 1619758091) is a healthcare organization registered as a general practice in Elk Grove, California and active in the NPI registry since October 2023. The organization lists Alvin Cheung, President/ceo, as its authorized official.

NPPES Registry Identity

NPI1619758091
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameNORTHSTATE DENTAL
Location Address2400 MARITIME DRIVEElk Grove, CA 95758
Mailing Address9700 W Taron DriveElk Grove, CA 95757 · (916) 686-7300
Phone(916) 686-8914
Organization SubpartNo
Authorized OfficialAlvin CheungPresident/ceo · (916) 216-6202
Enumeration DateOctober 11, 2023
✔ NPI 1619758091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
Definition
A general dentist is the primary dental care provider for patients of all ages. The general dentist is responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
2400 MARITIME DRIVE, Elk Grove, CA 95758
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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.

NORTHSTATE DENTAL UNIVERSITY PROGRAM
Dentist (General Practice)
2400 MARITIME DRIVE
ELK GROVE, CA 95758
Sacramento County (916) 686-8914

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 Northstate Dental's NPI number?

The NPI number for Northstate Dental is 1619758091. It was assigned to this organization in the NPPES registry on October 11, 2023.

Where is Northstate Dental located?

Northstate Dental is located at 2400 Maritime Drive, Elk Grove, CA 95758. The listed phone number is (916) 686-8914.

What is Northstate Dental's specialty?

The primary specialty registered for this NPI is Dentist, specializing in General Practice, with taxonomy code 1223G0001X.

When was this NPI record last updated?

The NPPES record for Northstate Dental was last updated on October 11, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.