OrganizationActive
South California Dental Practice
NPI 1114090677 · General Practice Dentistry · Stockton, CA
South California Dental Practice is a General Practice Dentistry organization in Stockton, CA (NPI 1114090677).
Provider details
- NPI number
- 1114090677
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Chee Chiang Chang, Owner Dentist(209) 941-0814
- License
- 47858 (CA)
Specialties & taxonomies
Dental Providers
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
40 S California St
Stockton, CA 95202-3004
Phone: (209) 941-0814
Fax: (209) 941-0815
Street-level locationGet directions
Mailing address
40 S California St
Stockton, CA 95202-3004
Other names (DBA / former)
- Doing business as
- South California Dental Practice
Registry dates
- Enumerated
- 2006-11-15
- Last updated
- 2020-08-22
Frequently asked questions
- What is South California Dental Practice's NPI number?
- South California Dental Practice's National Provider Identifier (NPI) is 1114090677, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South California Dental Practice?
- South California Dental Practice is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is South California Dental Practice located?
- South California Dental Practice's practice location on file with NPPES is 40 S California St, Stockton, CA 95202-3004.
- What is South California Dental Practice's phone number?
- The practice phone number listed in the NPPES registry for South California Dental Practice is (209) 941-0814.
- Who is the authorized official for South California Dental Practice?
- The authorized official listed on South California Dental Practice's NPPES record is Chee Chiang Chang, Owner Dentist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South California Dental Practice's NPI active?
- Yes — South California Dental Practice's NPI (1114090677) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.