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

Capitol Periodontal Group

Organization Periodontics · NPI 1366908618

Capitol Periodontal Group is a Periodontics in Davis, California. Registered with an NPI since 2019.

In the registry since
2019

Practice location Address checks out

750 F St #5
Davis, CA 95616
Phone: (530) 756-6087
Fax: (530) 756-5688
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Periodontics (primary) Taxonomy 1223P0300X

Record details

NPI number1366908618
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Renee Blake — Insurance Coordinator · (916) 691-1050
NPI enumeratedFebruary 12, 2019
Last updated in NPPESFebruary 12, 2019
Mailing address9309 Office Park Circle, Suite 120, Elk Grove, CA 95758

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