Shirecliffe Dental Corporation

Primary specialty

General Practice DentistryTaxonomy code 1223G0001X

Legal business name

SHIRECLIFFE DENTAL CORPORATION

Practice address

425 Pine St Ste 3
Galt, CA 95632-2055

Phone

(209) 745-4607

NPI assigned

Jun 28, 2024

Organization subpart

No

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

Authorized official

Name

Dr. David Street Shirecliffe, DDSNPI 1376218065

Title

Owner

Phone

(209) 745-4607

Specialties & licenses 1

Addresses

Other names 1

• Dry Creek Family Dental Doing business as

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• David Street Shirecliffe, DDS

  • General Practice Dentistry
  • Galt, CA
  • NPI 1376218065
  NPD Authorized official
• Ronald Robert Hilder, D.D.S.

  • Dentist
  • Galt, CA
  • NPI 1801947353
  NPD (past)

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

{
    "created_epoch": "1719532800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719532800000",
    "number": "1295570372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "425 PINE ST STE 3",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956322055",
            "telephone_number": "209-745-4607"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "425 PINE ST STE 3",
            "city": "GALT",
            "state": "CA",
            "postal_code": "956322055",
            "telephone_number": "209-745-4607"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SHIRECLIFFE DENTAL CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-28",
        "last_updated": "2024-06-28",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "SHIRECLIFFE",
        "authorized_official_first_name": "DAVID",
        "authorized_official_middle_name": "STREET",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-745-4607",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "1223G0001X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Dentist, General Practice",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Dry Creek Family Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven Scott Sanford, D.D.S.
• Savannah Schneider, RADT
• Marina Serrano
• Arti Sharma, PHARM.D.
• Kira Elyse Shimozaki
• David Street Shirecliffe, DDS
• Sirak Workneh DDS,Inc.
• John Solorzano
• Rita P. Soria
• Hugo Sosa, SUDCC II # 7329

• General Practice Dentistry in Galt, CA
• Providers in Galt, CA by specialty
• General Practice Dentistry in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2024; 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.