NPI Registry.org

Maple Leaf Dental, Inc.

NPI Registration Record

Provider / OrganizationNPIDate Certified
MAPLE LEAF DENTAL, INC.10035675042022-01-16

The organization Maple Leaf Dental, Inc. is registered with the National Plan and Provider Enumeration System (NPPES) and has the assigned NPI of 1003567504. Registration indicates Maple Leaf Dental, Inc. is a provider of services with a specialization in Ambulatory Health Care Facilities, Clinic/Center (Clinic/Center: Dental, ) (Clinic/Center Dental, Ambulatory Health Care Facilities) (Clinic/Center, )

Entity TypeOrganization
Provider OrganizationMAPLE LEAF DENTAL, INC.
Practice Office Address1300 N LINCOLN ST
DIXON, CA US
Practice Office Telephone7076789296
Practice Office Fax7076789307
Mailing Address1300 N LINCOLN ST
DIXON, CA 956202022 US
Business Telephone7076789296
Business Fax7076789307
Authorized OfficialANTHONY CRAIG, PRESIDENT / DEN
7076789296
Contact Endpoints
Website [Website]http://mapleleaf.dentalDirect
HPT Codes
CodePractice
License No
State
261QD0000X PRIMARY
Ambulatory Health Care Facilities
Clinic/Center
Clinic/Center: Dental

Clinic/Center Dental
Ambulatory Health Care Facilities
Clinic/Center
OPI Codes
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