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

Northstate Dental University Program

Organization General Practice Dentistry · NPI 1588498133

Northstate Dental University Program is a General Practice Dentistry in Elk Grove, California. Registered with an NPI since 2024.

In the registry since
2024

Practice location Address checks out

2400 Maritime Dr
Elk Grove, CA 95758
Phone: (916) 686-8914
Show map & directions

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

Specialties & licences

General Practice Dentistry (primary) Taxonomy 1223G0001X

Record details

NPI number1588498133
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Alvin Cheung — President/Ceo · (916) 216-6202
NPI enumeratedAugust 27, 2024
Last updated in NPPESAugust 27, 2024
Mailing address9700 W Taron Drive, Elk Grove, CA 95757

Other providers in Elk Grove