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CAPITOL PERIODONTAL GROUP
NPI 1962735993
Dentist - Periodontics in Folsom, CA

Active since September 09, 2009
2535 E BIDWELL ST STE 150, FOLSOM, CA 95630(916) 984-1109(916) 984-1764 Get Directions Write a Review

NPPES record last updated: September 9, 2009. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Capitol Periodontal Group NPPES

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

CAPITOL PERIODONTAL GROUP (NPI 1962735993) is a healthcare organization registered as a periodontics in Folsom, California and active in the NPI registry since September 2009. The organization lists Renee Blake, Insurance Specialist, as its authorized official.

NPPES Registry Identity

NPI1962735993
Entity TypeOrganization
Primary Taxonomy1223P0300X
Legal Business NameCAPITOL PERIODONTAL GROUP
Location Address2535 E BIDWELL ST STE 150Folsom, CA 95630-6458
Mailing Address9309 Office Park Cir Ste 120Elk Grove, CA 95758-8072 · (916) 691-1050 · Fax (916) 691-1066
Phone(916) 984-1109
Fax(916) 984-1764
Organization SubpartNo
Authorized OfficialRenee BlakeInsurance Specialist · (916) 691-1050
Enumeration DateSeptember 9, 2009
✔ NPI 1962735993 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyDentist · PeriodonticsDental Providers
Taxonomy Code1223P0300X
License✔ Licensed in CA · 22639744
Definition
That specialty of dentistry which encompasses the prevention, diagnosis and treatment of diseases of the supporting and surrounding tissues of the teeth or their substitutes and the maintenance of the health, function and esthetics of these structures and tissues.
2535 E BIDWELL ST STE 150, Folsom, CA 95630
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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 MULTIPLE 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 Capitol Periodontal Group's NPI number?

The NPI number for Capitol Periodontal Group is 1962735993. It was assigned to this organization in the NPPES registry on September 9, 2009.

Where is Capitol Periodontal Group located?

Capitol Periodontal Group is located at 2535 E Bidwell St Ste 150, Folsom, CA 95630. The listed phone number is (916) 984-1109.

What is Capitol Periodontal Group's specialty?

The primary specialty registered for this NPI is Dentist, specializing in Periodontics, with taxonomy code 1223P0300X.

When was this NPI record last updated?

The NPPES record for Capitol Periodontal Group was last updated on September 9, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 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.