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

Lodi Kids Dentist a Professional Dental Corporation

Organization Pediatric Dentistry · NPI 1043143696

Lodi Kids Dentist a Professional Dental Corporation is a Pediatric Dentistry in Lodi, California. Registered with an NPI since 2026.

In the registry since
2026
Specialties on file
2

Practice location Address checks out

740 W Kettleman Ln
Lodi, CA 95240-6051
Phone: (209) 808-5439
Show map & directions

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

Specialties & licences

Pediatric Dentistry (primary) Taxonomy 1223P0221X
Orthodontics and Dentofacial Orthopedics Dentistry Taxonomy 1223X0400X

Record details

NPI number1043143696
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Ahmed Salem — Ceo · (916) 849-3174
Other names Lodi Kids Dentist A Professional Dental Corporation Dba Lodi Kidz Dentist
NPI enumeratedJune 4, 2026
Last updated in NPPESJune 4, 2026
Certification dateJune 4, 2026
Mailing address9707 Blansfield Way, Elk Grove, CA 95757-4021

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