Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.

1012 Group, Inc

Organization General Practice Dentistry · NPI 1730535774

1012 Group, Inc provides 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 Not confirmed with CMS for 10 years — call before visiting
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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