| Sceville Dental Group | |
|
1390 W H St Suite D-1 Oakdale CA 95361-3570 | |
| (209) 847-8091 | |
| (209) 847-3314 |
| Full Name | Sceville Dental Group |
|---|---|
| Speciality | Dentist |
| Location | 1390 W H St, Oakdale, California |
| Authorized Official Name and Position | Jeffery Sceville (OWNER) |
| Authorized Official Contact | 2098478091 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Sceville Dental Group 1390 W H St Ste D Oakdale CA 95361-3529 Ph: (209) 847-8091 | Sceville Dental Group 1390 W H St Suite D-1 Oakdale CA 95361-3570 Ph: (209) 847-8091 |
| NPI Number | 1679647762 |
|---|---|
| Provider Enumeration Date | 11/20/2006 |
| Last Update Date | 12/23/2019 |
| Medicare PECOS PAC ID | 7719316223 |
|---|---|
| Medicare Enrollment ID | O20200404000612 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1679647762 | NPI | - | NPPES |
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