KAZAK DENTAL CORP
NPI 1841945490
Clinic/Center - Dental in San Anselmo, CA

Active since February 12, 2022
915 SIR FRANCIS DRAKE BLVD STE 1, SAN ANSELMO, CA 94960(415) 454-5667 Get Directions Write a Review

NPPES record last updated: February 12, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Kazak Dental Corp NPPES

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

KAZAK DENTAL CORP (NPI 1841945490), doing business as Ross Valley Dental, is a healthcare organization registered as a dental in San Anselmo, California and active in the NPI registry since February 2022. The organization lists Nikit F Kazak, President, as its authorized official.

NPPES Registry Identity

NPI1841945490
Entity TypeOrganization
Primary Taxonomy261QD0000X
Legal Business NameKAZAK DENTAL CORP
Location Address915 SIR FRANCIS DRAKE BLVD STE 1San Anselmo, CA 94960-1946
Mailing Address915 Sir Francis Drake Blvd Ste 1San Anselmo, CA 94960-1946 · (415) 454-5667
Organization SubpartNo
Authorized OfficialNikit F KazakPresident · (415) 652-9916
Enumeration DateFebruary 12, 2022
NPPES CertifiedFebruary 12, 2022
NPI 1841945490 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyClinic/Center · DentalAmbulatory Health Care Facilities
Taxonomy Code261QD0000X
915 SIR FRANCIS DRAKE BLVD STE 1, San Anselmo, CA 94960

Other Names 1

Doing Business AsRoss Valley Dental

Other Providers at the Same Location NPPES

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

Dentist
915 SIR FRANCIS DRAKE BLVD STE 1
SAN ANSELMO, CA 94960

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1841945490, enumerated as an "organization" on February 12, 2022.

The provider is located at 915 SIR FRANCIS DRAKE BLVD STE 1 SAN ANSELMO, CA 94960 and the phone number is (415) 454-5667.

Clinic/Center with taxonomy code 261QD0000X and a focus in Dental.