Active NPI
Whitelock Dental Group, Inc.
- General Practice Dentistry
- Elk Grove, CA
National Provider Identifier
1952273443
On this page
Key facts
NPPES NPI Registry- Primary specialty
- General Practice Dentistry
- Legal business name
- WHITELOCK DENTAL GROUP, INC.
- Practice address
- 10064 Bruceville Rd Ste 140
Elk Grove, CA 95757-9519 - Phone
- (916) 963-7261
- Fax
- (916) 512-8086
- NPI assigned
- Sep 23, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Inaksh Johal, DDS
- Title
- Owner
- Phone
- (916) 963-7261
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| General Practice Dentistry | 1223G0001X | Primary |
Addresses
Primary practice location
10064 Bruceville Rd Ste 140
Elk Grove, CA 95757-9519
Mailing address
PO Box 660041
Dallas, TX 75266-0041
Phone (714) 845-8890
Other names 1
- Whitelock Dental Group
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 05D2341497 | Whitelock Dental Group | Certificate of waiver | Apr 1, 2028 |
National Provider Directory
National Provider DirectoryLocations
10064 Bruceville Rd
Ste 140
Elk Grove, CA 95757
Phone (916) 963-7261
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1758585600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1758585600000",
"number": "1952273443",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 660041",
"city": "DALLAS",
"state": "TX",
"postal_code": "752660041",
"telephone_number": "714-845-8890",
"fax_number": "303-952-0892"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10064 BRUCEVILLE RD STE 140",
"city": "ELK GROVE",
"state": "CA",
"postal_code": "957579519",
"telephone_number": "916-963-7261",
"fax_number": "916-512-8086"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WHITELOCK DENTAL GROUP, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2025-09-23",
"last_updated": "2025-09-23",
"certification_date": "2025-09-23",
"status": "A",
"authorized_official_last_name": "JOHAL",
"authorized_official_first_name": "INAKSH",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "916-963-7261",
"authorized_official_credential": "DDS"
},
"taxonomies": [
{
"code": "1223G0001X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Dentist, General Practice",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Whitelock Dental Group",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Elk Grove, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.