Update this page – If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS.
Organization
TRACY DENTAL EXCELLENCE, CHASE DENTAL GROUP, INC.
Active
Organization
TRACY DENTAL EXCELLENCE, CHASE DENTAL GROUP, INC.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
RANDOLPH TAYLOR (AGENT)
(909) 967-3442
Entity
Organization
Contact information
Practice address
2858 WEST GRANTLINE RD, TRACY, CA 95304
(925) 699-3131
Mailing address
3876 LOS ARABIS DR, LAFAYETTE, CA 94549-2947
(925) 699-3131
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
37319
CA
Other
Enumeration date
06/27/2016
Last updated
06/27/2016
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