Devan Dalla, DDS

Primary specialty

DentistTaxonomy code 122300000X

License

DDS63130 Issued in CA

Practice address

2733 Elk Grove Blvd
Suite 180
Elk Grove, CA 95758-7165

Phone

(916) 975-1000

NPI assigned

Jun 25, 2013

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Dalla Dental Group

  • Dentist
  • Elk Grove, CA
  • NPI 1700335932
  NPD (past) Authorized official
• Dalla Dental Group Galt

  • Dentist
  • Galt, CA
  • NPI 1699416867
  NPD (past)

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

{
    "created_epoch": "1372118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1742342400000",
    "number": "1649610536",
    "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": "646-427-6519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2733 ELK GROVE BLVD",
            "address_2": "SUITE 180",
            "city": "ELK GROVE",
            "state": "CA",
            "postal_code": "957587165",
            "telephone_number": "916-975-1000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DALLA",
        "first_name": "DEVAN",
        "name_prefix": "Dr.",
        "credential": "DDS",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2013-06-25",
        "last_updated": "2025-03-19",
        "certification_date": "2025-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "NJ",
            "license": "22DI02540600",
            "primary": false
        },
        {
            "code": "122300000X",
            "taxonomy_group": "",
            "desc": "Dentist",
            "state": "CA",
            "license": "DDS63130",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dai Le Dental Corporation
• Olivia Dalbert
• Dalla DDS Inc
• Dalla Dental Group
• Dalla Dental Group Elk Grove Inc.
• VI Dam-Pearson, N.P.
• Ron Dancy
• Muoi V Dang, D.C.
• Tai Dang, DMD, RN
• Van Ngoc Dang, D.D.S

• Dentist in Elk Grove, CA
• Providers in Elk Grove, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2025; 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.