Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

1012 Group, Inc

Organization General Practice Dentistry · NPI 1730535774

1012 Group, Inc is a General Practice Dentistry in San Mateo, California. Licensed in California. Registered with an NPI since 2016.

Licensed in
CA
In the registry since
2016
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

800 S B St Ste #200
San Mateo, CA 94401-4271
Phone: (650) 458-3727
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X · Licence 58767 (CA)

Record details

NPI number1730535774
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Patti Bolander — Director Of Operations · (650) 458-3727
Other names Bloom Dental Group
NPI enumeratedMay 9, 2016
Last updated in NPPESMay 9, 2016
Mailing address800 S B St, Suite #200, San Mateo, CA 94401-4271

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