OrganizationActive
Lathrop Modern Dentistry, Prof. Corp.
NPI 1225977721 · General Practice Dentistry · Lathrop, CA
Lathrop Modern Dentistry, Prof. Corp. is a General Practice Dentistry organization in Lathrop, CA (NPI 1225977721).
Provider details
- NPI number
- 1225977721
- Entity type
- Organization
- Primary specialty
- General Practice DentistryDental Providers
- Organization subpart
- No
- Authorized official
- Peter Pham, Owner(209) 992-5059
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(53/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
Under 1 yr in 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
16748 Golden Valley Parkway
Lathrop, CA 95330
Phone: (209) 992-5059
Fax: (209) 992-4998
Approximate (ZIP-level) locationGet directions
Mailing address
Po Box 660041
Dallas, TX 75266-0041
Other names (DBA / former)
- Doing business as
- Lathrop Modern Dentistry
Registry dates
- Enumerated
- 2026-03-27
- Last updated
- 2026-03-27
- Certified
- 2026-03-23
Frequently asked questions
- What is Lathrop Modern Dentistry, Prof. Corp.'s NPI number?
- Lathrop Modern Dentistry, Prof. Corp.'s National Provider Identifier (NPI) is 1225977721, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lathrop Modern Dentistry, Prof. Corp.?
- Lathrop Modern Dentistry, Prof. Corp. is classified in the NPPES registry as General Practice Dentistry (Dental Providers).
- Where is Lathrop Modern Dentistry, Prof. Corp. located?
- Lathrop Modern Dentistry, Prof. Corp.'s practice location on file with NPPES is 16748 Golden Valley Parkway, Lathrop, CA 95330.
- What is Lathrop Modern Dentistry, Prof. Corp.'s phone number?
- The practice phone number listed in the NPPES registry for Lathrop Modern Dentistry, Prof. Corp. is (209) 992-5059.
- Who is the authorized official for Lathrop Modern Dentistry, Prof. Corp.?
- The authorized official listed on Lathrop Modern Dentistry, Prof. Corp.'s NPPES record is Peter Pham, Owner. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lathrop Modern Dentistry, Prof. Corp.'s NPI active?
- Yes — Lathrop Modern Dentistry, Prof. Corp.'s NPI (1225977721) is active in the NPPES registry as of the last update on 2026-03-27.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.