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MISSION DENTAL
NPI 1689066516
Dentist - General Practice in Placerville, CA

Active since March 02, 2015
1166 BROADWAY STE J, PLACERVILLE, CA 95667(530) 626-8626 Get Directions Write a Review

NPPES record last updated: August 6, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Mission Dental NPPES

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

MISSION DENTAL (NPI 1689066516) is a healthcare organization registered as a general practice in Placerville, California and active in the NPI registry since March 2015. The organization lists Julie Ann Day, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1689066516
Entity TypeOrganization
Primary Taxonomy1223G0001X
Legal Business NameMISSION DENTAL
Location Address1166 BROADWAY STE JPlacerville, CA 95667-5754
Mailing AddressPo Box 1043Placerville, CA 95667-1043 · (530) 626-8626
Phone(530) 626-8626
Organization SubpartNo
Authorized OfficialJulie Ann DayExecutive Director · (916) 837-7174
Enumeration DateMarch 2, 2015
Last NPPES UpdateAugust 6, 2015
✔ NPI 1689066516 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.
1166 BROADWAY STE J, Placerville, CA 95667
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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

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 Mission Dental's NPI number?

The NPI number for Mission Dental is 1689066516. It was assigned to this organization in the NPPES registry on March 2, 2015.

Where is Mission Dental located?

Mission Dental is located at 1166 Broadway Ste J, Placerville, CA 95667. The listed phone number is (530) 626-8626.

What is Mission 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 Mission Dental was last updated on August 6, 2015. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.