C-DENTAL X-RAY, INC. – NPI #1639555105
Dental Laboratory

A commercial laboratory specializing in the construction of dental appliances that conform to a dentist's specifications including the construction of dentures (complete or partial), orthodontic appliances, bridgework, crowns, and inlays.

C-DENTAL X-RAY, INC. is a dental laboratory located in MENLO PARK, CA. NPPES has assigned the NPI number 1639555105 to C-DENTAL X-RAY, INC. on August 06, 2015. It is a Type-2 NPI, indicating this NPI number is associated with an organization. The primary taxonomy selected by this provider is 292200000X from the Health Care Provider Taxonomy code set, which is classified as Dental Laboratory.

Use the NPI data found here to bill health insurance companies, identify providers enrolled in Medicare and Medicaid services or other HIPAA compliant transactions. See the complete NPI profile for C-DENTAL X-RAY, INC. below.

NPI Profile for
C-DENTAL X-RAY, INC.

NPI Number
1639555105
Enumeration Date

(about 11 years ago)
Entity Type
Type-2  Organization
Organization health care providers may have a single employee or thousands of employees. An example is an incorporated individual who is an organization's only employee.
Legal Name
C-DENTAL X-RAY, INC.
Primary location
695 OAK GROVE AVE
STE. 330
MENLO PARK, CA 94025-4351
Phone: (652) 323-0204 Fax:
Mailing address
450 SUTTER ST
STE. 1542
SAN FRANCISCO, CA 94108-4206
Phone: (415) 421-1389 Fax:
Organization Subpart
No
Authorized Official
JEROME PECK
CEO
Phone: (650) 207-6209
Updated
Taxonomy Code(s)

A taxonomy code is a code that describes the health care service provider's type, classification, and the area of specialization. The primary specialty for this provider is indicated as (Primary) below.

Taxonomy Classification / Specialization State License
292200000X
- Dental Laboratory (Primary)
CA RHP00053519

The taxonomy codes are selected by the provider at the time of NPI registration. Selection of a taxonomy code does not replace any credentialing or validation process that the provider requesting the code should complete.