| The Smile Doctor | |
|
3000 L St Suite 104 Sacramento CA 95816-5248 | |
| (916) 737-6453 | |
| (916) 737-3075 |
| Full Name | The Smile Doctor |
|---|---|
| Speciality | Dentist |
| Location | 3000 L St, Sacramento, California |
| Authorized Official Name and Position | Chris Campbell (OFFICE MANAGER) |
| Authorized Official Contact | 9167376453 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| The Smile Doctor 3000 L St Suite 104 Sacramento CA 95816-5248 Ph: (916) 737-6453 | The Smile Doctor 3000 L St Suite 104 Sacramento CA 95816-5248 Ph: (916) 737-6453 |
| NPI Number | 1184822462 |
|---|---|
| Provider Enumeration Date | 07/06/2007 |
| Last Update Date | 12/07/2010 |
| Medicare PECOS PAC ID | 6901946144 |
|---|---|
| Medicare Enrollment ID | O20100930023637 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1184822462 | NPI | - | NPPES |
| 45975 | Other | CA | STATE DENTAL LICENSE # |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 1223G0001X | Dentist - General Practice | 45975 (California) | Primary |
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