Pacific Dental Group is a Dental Clinic in Stockton, California. This organization is also known as sub part of D Park Mph Dds Dental Corporation. It is located at 7743 West Ln Ste C5, Stockton, CA and its contact number is 209-474-1101. The authorized person for Pacific Dental Group is Mr. David Sangho Park
who is Ceo, Cfo of the clinic and their contact number is 310-403-1117. Pacific Dental Group Clinic caters to patients of all ages for their dental care needs. Dentists at the clinic are responsible for the diagnosis, treatment, management and overall coordination of services related to patients' oral health needs.
Complete Clinic Profile:
Pacific Dental Group Clinic speciality, address, contact phone number and fax are as below.
Patients can call on the below given phone number for appointments.
Name:
Pacific Dental Group
Specialization:
General Practice Dentistry
Clinic Address:
7743 West Ln Ste C5, Stockton, California, 95210-3381
Phone:
209-474-1101
Authorized/Official Person Profile:
Officially authorized person to contact for any management issues or complaints for this clinic are as below. Person's position and contact details are also mentioned below.
Name:
Mr. David Sangho Park
Position:
Ceo, Cfo
Contact Number:
310-403-1117
Professional Identification Codes:
NPI number stands for National Provider Identifier which is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS).
NPI details for Pacific Dental Group clinic are as mentioned below.
NPI Number:
1124572284
Parent Organization:
D Park Mph Dds Dental Corporation
NPI Enumeration Date:
06 Aug, 2016
NPI Last Update On:
11 Jan, 2022
Medical Licenses:
Organizations can have one or more medical licenses for different specialities in the same state or different states. Related medical licenses for Pacific Dental Group are as mentioned below.
Specialization
License Number
State
Status
General Practice
Primary
Other Medical Identifiers:
Other legacy medical identifiers of the clinic such as Medicaid, Medicare PIN, NSC, UPIN etc. are mentioned as below.
Identifier
Type
State
Issuer
53724
Medicaid
California
Business Mailing Address:
Business mailing address can be used for mailing purpose only, for visiting purpose patients need to refer above mentioned address.
Address:
Pacific Dental Group 7743 West Ln Ste C5, Stockton, California
Zip:
95210-3381
Phone Number:
209-474-1101
Patients can reach Pacific Dental Group at 7743 West Ln Ste C5, Stockton, California or can call to book an appointment on 209-474-1101. Data of this site is collected from Medicare & Medicaid Services (CMS) and NPPES. Last updated on 13 May, 2024.