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
SANTA CRUZ DENTAL GROUP
Active
Organization
SANTA CRUZ DENTAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MAX WILSON (PARTNER)
(831) 426-3535
Entity
Organization
Contact information
Practice address
1017 MISSION ST, SANTA CRUZ, CA 95060-3524
(831) 426-3535
(831) 454-0330
Mailing address
1017 MISSION ST, SANTA CRUZ, CA 95060-3524
(831) 426-3535
(831) 454-0330
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
32389
CA
122300000X
Dentist
50395
CA
122300000X
Dentist
50398
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1063505477
DOCTOR'S NPI NUMBERS
CA
01
—
13261317131
DOCTOR'S NPI NUMBERS
CA
01
—
1639272248
DOCTOR'S NPI NUMBERS
CA
Enumeration date
10/05/2016
Last updated
10/05/2016
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