DIGNITY DENTAL PRACTICE
NPI 1649746066
Durable Medical Equipment & Medical Supplies - Customized Equipment in Stockton, CA

Active since October 23, 2018
1545 SAINT MARKS PLZ STE 1, STOCKTON, CA 95207(209) 957-1244(209) 957-2591 Get Directions Write a Review

NPPES record last updated: July 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 22, 2020, Aug 19, 2019, Oct 23, 2018 (3 updates tracked since 2018).

About Dignity Dental Practice NPPES

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

DIGNITY DENTAL PRACTICE (NPI 1649746066) is a healthcare organization registered as a customized equipment in Stockton, California and active in the NPI registry since October 2018. The organization lists Rommel Kaur Bal, President, as its authorized official.

NPPES Registry Identity

NPI1649746066
Entity TypeOrganization
Primary Taxonomy332BC3200X
Legal Business NameROMMEL K BAL DDS A DENTAL CORPORATION
Location Address1545 SAINT MARKS PLZ STE 1Stockton, CA 95207-6411
Mailing Address1545 Saint Marks Plz Ste 1Stockton, CA 95207-6411 · (209) 957-1244 · Fax (209) 957-2591
Fax(209) 957-2591
Organization SubpartNo
Authorized OfficialRommel Kaur BalPresident · (209) 957-1244
Enumeration DateOctober 23, 2018
Last NPPES UpdateJuly 22, 20203 updates tracked since enumeration
NPPES CertifiedJuly 22, 2020
NPI 1649746066 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code332BC3200X
Also ListedDentist · General PracticeTaxonomy 1223G0001X
Also ListedDurable Medical Equipment & Medical SuppliesTaxonomy 332B00000X
1545 SAINT MARKS PLZ STE 1, Stockton, CA 95207

Other Names 1

Other NameDignity Dental Practice

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

Medical Equipment Supplier

The provider carries the following medical supplies product categories:

PTAN
20451581
Accepts Medicare Assignment
NO
Specialities List
Orthotic Personnel.
Competitive Bidding
NO

Supplies List

  • Orthoses: Custom Fabricated - Custom met pads, Custom heel pads, Custom heel spur pads
  • Orthoses: Prefabricated (Non-Custom Fabricated) - Met pads, Heel pads, Heel spur pads

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1649746066, enumerated as an "organization" on October 23, 2018.

The provider is located at 1545 SAINT MARKS PLZ STE 1 STOCKTON, CA 95207 and the phone number is (209) 957-1244.

Durable Medical Equipment & Medical Supplies with taxonomy code 332BC3200X and a focus in Customized Equipment.