McComb Dental Corp

Primary specialty

Dental Clinic/CenterTaxonomy code 261QD0000X

Legal business name

MCCOMB DENTAL CORP

Doing business as

Adventure Kids Dental

Practice address

920 Pleasant Grove Blvd Ste 150
Roseville, CA 95678-6184

Phone

(916) 269-9777

Fax

(916) 269-9777

NPI assigned

Dec 14, 2020

Organization subpart

No

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

Authorized official

Name

Dr. Jeffrey McComb, DDSNPI 1841472487

Title

President

Phone

(916) 269-9777

Specialties & licenses 1

Addresses

Other names 1

• Adventure Kids Dental Doing business as

Locations

Practitioners 1

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

• Jeffrey D McComb, DDS

  • Dentist
  • Roseville, CA
  • NPI 1841472487
  NPD Authorized official

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

{
    "created_epoch": "1607904000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1607904000000",
    "number": "1508452699",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "920 PLEASANT GROVE BLVD",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786139",
            "telephone_number": "916-269-9777",
            "fax_number": "916-269-9777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "920 PLEASANT GROVE BLVD STE 150",
            "city": "ROSEVILLE",
            "state": "CA",
            "postal_code": "956786184",
            "telephone_number": "916-269-9777",
            "fax_number": "916-269-9777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MCCOMB DENTAL CORP",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-12-14",
        "last_updated": "2020-12-14",
        "certification_date": "2020-12-14",
        "status": "A",
        "authorized_official_last_name": "MCCOMB",
        "authorized_official_first_name": "JEFFREY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "916-269-9777",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "DDS"
    },
    "taxonomies": [
        {
            "code": "261QD0000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Dental",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Adventure Kids Dental",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kyle R McClintock, D.O.
• Jeffrey McClure, DDS
• Stephen Gary McClure, PH.D.
• Demetria Charneice McClusky
• Megan McColley
• Jeffrey D McComb, DDS
• Kierra McComb
• Kylie Breane McCord
• Kaylin McCoskey
• Jazmine McCoy

• Dental Clinic/Center in Roseville, CA
• Providers in Roseville, 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 14, 2020; 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.