Razan Nour, DDS
Individual provider Active NPI Dentist · Elk Grove, CA
NPI 1821600511 · NPPES record last updated Dec 12, 2021
Key facts
- NPI
- 1821600511
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Dentist 122300000X
- License
- 105057 (CA)
- Practice address
- 9299 Laguna Springs Dr Ste 100
Elk Grove, CA 95758-7842 - Phone
- (916) 478-7200
- NPI assigned
- Aug 23, 2020
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 3
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Albik Dental Inc | Current |
Accepting new patients | |
| Little and Big Smiles Dentistry PLLC | Current | Accepting new patients | |
| Johal and Ghazal Dental Corporation | Past |
Accepting new patients |
Locations
9299 Laguna Springs Dr
Ste 100
Elk Grove, CA 95758
Phone (209) 204-0754
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Dentist | 122300000X | 105057 | CA | Yes |
Addresses
Primary practice location
9299 Laguna Springs Dr Ste 100
Elk Grove, CA 95758-7842
Mailing address
10231 Jenny Lynn Way
Elk Grove, CA 95757-5968
Phone (916) 904-6236
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 12, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.