OrganizationActive
Capitol Periodontal Group
NPI 1366908618 · Periodontics · Davis, CA
Capitol Periodontal Group is a Periodontics organization in Davis, CA (NPI 1366908618).
Provider details
- NPI number
- 1366908618
- Entity type
- Organization
- Primary specialty
- PeriodonticsDental Providers
- Organization subpart
- No
- Authorized official
- Renee Blake, Insurance Coordinator(916) 691-1050
Specialties & taxonomies
Dental Providers
Profile Score
Established profile(67/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 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
750 F Street #5
Davis, CA 95616
Phone: (530) 756-6087
Fax: (530) 756-5688
Street-level locationGet directions
Mailing address
9309 Office Park Circle, Suite 120
Elk Grove, CA 95758
Registry dates
- Enumerated
- 2019-02-12
- Last updated
- 2019-02-12
Frequently asked questions
- What is Capitol Periodontal Group's NPI number?
- Capitol Periodontal Group's National Provider Identifier (NPI) is 1366908618, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Capitol Periodontal Group?
- Capitol Periodontal Group is classified in the NPPES registry as Periodontics (Dental Providers).
- Where is Capitol Periodontal Group located?
- Capitol Periodontal Group's practice location on file with NPPES is 750 F Street #5, Davis, CA 95616.
- What is Capitol Periodontal Group's phone number?
- The practice phone number listed in the NPPES registry for Capitol Periodontal Group is (530) 756-6087.
- Who is the authorized official for Capitol Periodontal Group?
- The authorized official listed on Capitol Periodontal Group's NPPES record is Renee Blake, Insurance Coordinator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Capitol Periodontal Group's NPI active?
- Yes — Capitol Periodontal Group's NPI (1366908618) is active in the NPPES registry as of the last update on 2019-02-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.