Dalla Dental Group Fairfield Inc

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

DALLA DENTAL GROUP FAIRFIELD INC

Practice address

2750 N Texas St
Fairfield, CA 94533-1290

Phone

(707) 422-8282

NPI assigned

Sep 8, 2022

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

Title

President

Phone

(646) 427-6519

Specialties & licenses 1

Addresses

Other names 1

• Sunrise dental & implants Doing business as

Electronic endpoints 1

Locations

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

{
    "created_epoch": "1662595200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1662595200000",
    "number": "1336860253",
    "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",
            "telephone_number": "646-546-6374"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2750 N TEXAS ST",
            "city": "FAIRFIELD",
            "state": "CA",
            "postal_code": "945331290",
            "telephone_number": "707-422-8282"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "DALLA DENTAL GROUP FAIRFIELD INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-09-08",
        "last_updated": "2022-09-08",
        "certification_date": "2022-09-08",
        "status": "A",
        "authorized_official_last_name": "DALLA",
        "authorized_official_first_name": "DEVAN",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "646-427-6519",
        "authorized_official_name_prefix": "Dr."
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "00",
            "affiliation": "N",
            "address_1": "2750 N Texas St",
            "city": "Fairfield",
            "state": "CA",
            "country_code": "US",
            "postal_code": "945331290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Sunrise dental & implants",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Douglas Granada Dado, DNP
• Marc J Daguio, RAD-T
• Jordan Dahl
• Allen Dai, PHARMD
• Tristan Bowley Dalisay, PT
• Earl Beltran Dalmaceda, MIA
• Rebekah Damewood, AMFT
• Jessica E Damiano
• Baongan Dang
• Helen Dangtran, RPH

• Dental Clinic/Center in Fairfield, CA
• Providers in Fairfield, 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 Sep 8, 2022; 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.