CANYON LAKES DENTAL
NPI 1639546252
Dentist - General Practice in San Ramon, CA

Active since August 31, 2015
525 BOLLINGER CANYON WAY STE 105, SAN RAMON, CA 94582(925) 735-3838 Get Directions Write a Review

NPPES record last updated: October 7, 2016. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Canyon Lakes Dental NPPES

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

CANYON LAKES DENTAL (NPI 1639546252) is a healthcare organization registered as a general practice in San Ramon, California and active in the NPI registry since August 2015. The organization lists David Erik Richard Burke, Dentist, as its authorized official.

NPPES Registry Identity

NPI1639546252
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameCANYON LAKES DENTAL
Location Address525 BOLLINGER CANYON WAY STE 105San Ramon, CA 94582-4935
Mailing Address525 Bollinger Canyon Way Ste 105San Ramon, CA 94582-4935 · (925) 735-3838
Organization SubpartNo
Authorized OfficialDavid Erik Richard BurkeDentist · (231) 735-3715
Enumeration DateAugust 31, 2015
Last NPPES UpdateOctober 7, 2016
NPI 1639546252 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyDentist · General PracticeDental Providers
Taxonomy Code1223G0001X
License Licensed in MI · 2901021670
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.

525 BOLLINGER CANYON WAY STE 105, San Ramon, CA 94582

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-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.

Dentist
525 BOLLINGER CANYON WAY STE 105
SAN RAMON, CA 94582

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 Canyon Lakes Dental's NPI number?

The NPI number for Canyon Lakes Dental is 1639546252. It was assigned to this organization in the NPPES registry on August 31, 2015.

Where is Canyon Lakes Dental located?

Canyon Lakes Dental is located at 525 Bollinger Canyon Way Ste 105, San Ramon, CA 94582. The listed phone number is (925) 735-3838.

What is Canyon Lakes 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 Canyon Lakes Dental was last updated on October 7, 2016. NPI Profile syncs with the weekly NPPES data releases published by CMS.