Sceville Dental Group

Primary specialty

DentistTaxonomy code 122300000X

License

51300 Issued in CA

Legal business name

SCEVILLE DENTAL GROUP

Practice address

1390 W H St
Suite D-1
Oakdale, CA 95361-3570

Phone

(209) 847-8091

Fax

(209) 847-3314

NPI assigned

Nov 20, 2006

Organization subpart

No

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

Authorized official

Name

Jeffery ScevilleNPI 1083788236

Title

Owner

Phone

(209) 847-8091

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Locations

Practitioners 2

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

• Jeffery William Sceville, D.D.S.

  • Dentist
  • Oakdale, CA
  • NPI 1083788236
  NPD (past) Authorized official
• Jodi Lynell Sceville, D.D.D.

  • Dentist
  • Oakdale, CA
  • NPI 1073687158
  NPD

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

{
    "created_epoch": "1163980800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1577059200000",
    "number": "1679647762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1390 W H ST STE D",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613529",
            "telephone_number": "209-847-8091",
            "fax_number": "209-847-3314"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1390 W H ST",
            "address_2": "SUITE D-1",
            "city": "OAKDALE",
            "state": "CA",
            "postal_code": "953613570",
            "telephone_number": "209-847-8091",
            "fax_number": "209-847-3314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SCEVILLE DENTAL GROUP",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-20",
        "last_updated": "2019-12-23",
        "certification_date": "2019-12-23",
        "status": "A",
        "authorized_official_last_name": "SCEVILLE",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "209-847-8091"
    },
    "taxonomies": [
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "51300",
            "primary": true
        },
        {
            "code": "122300000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Dentist",
            "state": "CA",
            "license": "46428",
            "primary": false
        },
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Fidji Ramos Salcedo
• Carla Stephanie Sanchez
• Taylor Sanders
• Emilia Desiree Santucci, LMFT
• Albert Lee Scaief, O.D., M.S.
• Jeffery William Sceville, D.D.S.
• Jodi Lynell Sceville, D.D.D.
• Senior Care of the Valley, Inc.
• Tapan Shah, PHARM.D
• Shahin Laghaee MD Inc

• Dentist in Oakdale, CA
• Providers in Oakdale, CA by specialty
• Dentist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.