Monika S. Gugale, D.D.S.

Individual provider Active NPI General Practice Dentistry · Wheatland, CA

NPI 1891779476 · NPPES record last updated Mar 7, 2023

Key facts

NPI
1891779476
Entity type
Individual (NPI type 1)
Primary specialty
General Practice Dentistry 1223G0001X
License
49104 (CA)
Practice address
615 Olive St
Wheatland, CA 95692-9787
Phone
(530) 633-2865
Fax
(530) 633-9491
NPI assigned
Dec 6, 2005
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
49104CAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Gugale Dental Inc Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
General Practice Dentistry 1223G0001X 49104 CA Yes

Addresses

Primary practice location

615 Olive St
Wheatland, CA 95692-9787

Mailing address

1390 Cedar Dr
Lincoln, CA 95648-8260
Phone (909) 248-4253

Other providers in Wheatland, CA

All providers in Wheatland, CA · General Practice Dentistry in California

Sources for this page

Verify at the official NPI Registry.