CROCKER RANCH DENTISTRY, PROF. CORP.
NPI 1700730538
Dentist - General Practice in Roseville, CA

Q: What is Crocker Ranch Dentistry, Prof. Corp.'s NPI number?

The NPI number for Crocker Ranch Dentistry, Prof. Corp. is 1700730538. It was assigned to this organization in the NPPES registry on February 26, 2026. The provider is doing business as Crocker Ranch Dentistry.

Q: What is Crocker Ranch Dentistry, Prof. Corp.'s specialty?

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

Active since February 26, 2026CLIA 05D2346969 · Waiver

9055 WOODCREEK OAKS BLVD STE 150, ROSEVILLE, CA 95747(916) 248-8749(916) 297-4041 Get Directions Write a Review

NPPES record last updated: February 26, 2026. Verified against the NPPES registry weekly; last sync: October 04, 2026.

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About Crocker Ranch Dentistry, Prof. Corp. NPPES

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

CROCKER RANCH DENTISTRY, PROF. CORP. (NPI 1700730538), doing business as Crocker Ranch Dentistry, is a healthcare organization registered as a general practice in Roseville, California and active in the NPI registry since February 2026. The organization holds a CLIA Waiver certificate valid through July 8, 2028 and lists Taewon Tad Cho, Owner, as its authorized official.

NPPES Registry Identity

NPI1700730538

Entity TypeOrganization

Primary Taxonomy1223G0001X

Legal Business NameCROCKER RANCH DENTISTRY, PROF. CORP.

Location Address9055 WOODCREEK OAKS BLVD STE 150Roseville, CA 95747-5159

Mailing AddressPo Box 660041Dallas, TX 75266-0041 · (714) 845-8890 · Fax (303) 952-0892

Phone(916) 248-8749

Fax(916) 297-4041

Organization SubpartNo

Authorized OfficialTaewon Tad ChoOwner · (916) 248-8749

Enumeration DateFebruary 26, 2026

NPPES CertifiedFebruary 26, 2026

✔ NPI 1700730538 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.

9055 WOODCREEK OAKS BLVD STE 150, Roseville, CA 95747

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Other Names 1

Doing Business AsCrocker Ranch Dentistry

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

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 05D2346969

Crocker Ranch Dentistry · Roseville, CA

Active · expires Jul 8, 2028

CLIA Number05D2346969

Laboratory TypePractitioner Other

Certificate Effective DateJuly 9, 2026

Certificate Expiration DateJuly 8, 2028

Laboratory DirectorTaewon Cho

Laboratory Phone(916) 248-8749

Laboratory LocationCrocker Ranch Dentistry9055 Woodcreek Oaks Blvd, Ste 150, Roseville, CA 95747

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

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 Crocker Ranch Dentistry, Prof. Corp.'s NPI number?

The NPI number for Crocker Ranch Dentistry, Prof. Corp. is 1700730538. It was assigned to this organization in the NPPES registry on February 26, 2026. The provider is doing business as Crocker Ranch Dentistry.

Where is Crocker Ranch Dentistry, Prof. Corp. located?

Crocker Ranch Dentistry, Prof. Corp. is located at 9055 Woodcreek Oaks Blvd Ste 150, Roseville, CA 95747. The listed phone number is (916) 248-8749.

What is Crocker Ranch Dentistry, Prof. Corp.'s specialty?

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

Does Crocker Ranch Dentistry, Prof. Corp. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 05D2346969) is associated with this NPI, valid through July 8, 2028. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Crocker Ranch Dentistry, Prof. Corp. was last updated on February 26, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 months 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.