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GREENHAVEN FAMILY DENTAL LLC
NPI 1730771353
Clinic/Center - Dental in Sacramento, CA

Active since February 04, 2021
925 SECRET RIVER DR STE A, SACRAMENTO, CA 95831(916) 421-3815 Get Directions Write a Review

NPPES record last updated: February 4, 2021. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Greenhaven Family Dental Llc NPPES

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

GREENHAVEN FAMILY DENTAL LLC (NPI 1730771353) is a healthcare organization registered as a dental in Sacramento, California and active in the NPI registry since February 2021. The organization lists Jerome Pielago, Managing Dentist/owner, as its authorized official.

NPPES Registry Identity

NPI1730771353
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameGREENHAVEN FAMILY DENTAL LLC
Location Address925 SECRET RIVER DR STE ASacramento, CA 95831-3465
Mailing Address925 Secret River Dr Ste ASacramento, CA 95831-3465 · (916) 421-3815
Phone(916) 421-3815
Organization SubpartNo
Authorized OfficialJerome PielagoManaging Dentist/owner · (916) 412-5034
Enumeration DateFebruary 4, 2021
NPPES CertifiedFebruary 4, 2021
✔ NPI 1730771353 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
Also ListedDentistTaxonomy 122300000X
925 SECRET RIVER DR STE A, Sacramento, CA 95831
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Other Names 1

Doing Business AsGreenhaven Family Dental Llc

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

Other Providers at the Same Location NPPES

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

GREGORY GEORGE MARONI D.D.S.
Dentist (General Practice)
925 SECRET RIVER DR STE A
SACRAMENTO, CA 95831
Sacramento County (916) 421-3815

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 Greenhaven Family Dental LLC's NPI number?

The NPI number for Greenhaven Family Dental LLC is 1730771353. It was assigned to this organization in the NPPES registry on February 4, 2021.

Where is Greenhaven Family Dental LLC located?

Greenhaven Family Dental LLC is located at 925 Secret River Dr Ste A, Sacramento, CA 95831. The listed phone number is (916) 421-3815.

What is Greenhaven Family Dental LLC's specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Dental, with taxonomy code 261QD0000X.

When was this NPI record last updated?

The NPPES record for Greenhaven Family Dental LLC was last updated on February 4, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.