Dalla Pediatric Dental Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

License

63130 Issued in CA

Legal business name

DALLA PEDIATRIC DENTAL INC

Practice address

917 Trancas St Ste B
Napa, CA 94558-2903

Phone

(707) 226-5559

NPI assigned

Dec 7, 2017

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Dr. Devan Dalla, DDS

Title

President/Owner

Phone

(646) 427-6519

Specialties & licenses 1

Addresses

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1512604800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1512604800000",
    "number": "1174038517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3108 E PINTAIL WAY",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957578206"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "917 TRANCAS ST STE B",
            "city": "NAPA",
            "state": "CA",
            "postal_code": "945582903",
            "telephone_number": "707-226-5559"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLA PEDIATRIC DENTAL INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-12-07",
        "last_updated": "2017-12-07",
        "status": "A",
        "authorized_official_last_name": "DALLA",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_title_or_position": "PRESIDENT/OWNER",
        "authorized_official_telephone_number": "646-427-6519",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": "CA",
            "license": "63130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Morse Cushman, PHD
• Patrick Cyusa
• Suellen Janece D'Arblay, OT
• Lilian M Dalida, MD
• Aldric Dall-Ellis
• Janelle Daly, OTR/L, PAM
• Patricia Damery, MFT, CERTIFIED JUNGI
• Joseph Dane, MD
• Daniel M. Capponi DDS Inc.
• Danny'S Home Health Care Inc.

• Dental Clinic/Center in Napa, CA
• Providers in Napa, CA by specialty
• Dental Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 7, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.