Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
PRO DENTAL GROUP
Active
Organization
PRO DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. DAVID S PARK DDS (OWNER/ PRESIDENT)
(916) 442-5228
Entity
Organization
Contact information
Practice address
1111 24TH ST, SUITE 201, SACRAMENTO, CA 95816-5019
(916) 442-5228
Mailing address
1111 24TH ST, SUITE 201, SACRAMENTO, CA 95816-5019
(916) 442-5228
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
53724
CA
Other
Enumeration date
09/29/2008
Last updated
09/29/2008
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up