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LAND PARK MODERN DENTISTRY DENTAL GROUP
NPI 1679039960
Dentist - General Practice in Sacramento, CA

Active since February 12, 2019
3640 CROCKER AVE STE 130, SACRAMENTO, CA 95818(916) 550-9429(916) 246-1517 Get Directions Write a Review

NPPES record last updated: August 5, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Aug 5, 2022, Feb 12, 2019 (2 updates tracked since 2019).

About Land Park Modern Dentistry Dental Group NPPES

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

LAND PARK MODERN DENTISTRY DENTAL GROUP (NPI 1679039960) is a healthcare organization registered as a general practice in Sacramento, California and active in the NPI registry since February 2019. The organization lists Reymond C. Bautista, Owner, as its authorized official.

NPPES Registry Identity

NPI1679039960
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameREYMOND BAUTISTA DENTAL CORPORATION
Location Address3640 CROCKER AVE STE 130Sacramento, CA 95818-3970
Mailing AddressPo Box 920050Dallas, TX 75392-0050 · (714) 845-8500 · Fax (303) 952-0892
Phone(916) 550-9429
Fax(916) 246-1517
Organization SubpartNo
Authorized OfficialReymond C. BautistaOwner · (916) 550-9429
Enumeration DateFebruary 12, 2019
Last NPPES UpdateAugust 5, 20222 updates tracked since enumeration
NPPES CertifiedAugust 5, 2022
✔ NPI 1679039960 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.
3640 CROCKER AVE STE 130, Sacramento, CA 95818
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Other Names 1

Doing Business AsLand Park Modern Dentistry Dental Group

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 2

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

ADITI MEHNDIRATTA
Dentist (General Practice)
3640 CROCKER AVE STE 130
SACRAMENTO, CA 95818
Sacramento County (916) 550-9429
DR. COLLEEN A. CONLON D.D.S
Dentist (General Practice)
3640 CROCKER AVE STE 130
SACRAMENTO, CA 95818
Sacramento County (916) 550-9429

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 Reymond Bautista Dental Corporation's NPI number?

The NPI number for Reymond Bautista Dental Corporation is 1679039960. It was assigned to this organization in the NPPES registry on February 12, 2019. The provider is doing business as Land Park Modern Dentistry Dental Group.

Where is Reymond Bautista Dental Corporation located?

Reymond Bautista Dental Corporation is located at 3640 Crocker Ave Ste 130, Sacramento, CA 95818. The listed phone number is (916) 550-9429.

What is Reymond Bautista Dental Corporation'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 Reymond Bautista Dental Corporation was last updated on August 5, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.